Rare Presentation of a Marjolin's Ulcer Secondary to a Post-Traumatic Injury

Abstract Marjolin's ulcer is a rare and aggressive cutaneous malignancy arising from previously traumatized skin, most commonly at the site of previous burns. We present a unique case of Marjolin's ulceration secondary to an orthopedic injury and a nonburn history of trauma. The patient ha...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2017-01, Vol.56 (1), p.112-116
Main Authors: Bernhard, Kaitlyn, DPM, Morgan, Kenneth, DPM, Kruse, Dustin, DPM, MA, FACFAS, Stone, Paul A., DPM, FACFAS
Format: Article
Language:English
Subjects:
Accidents, Traffic
Amputation - methods
biopsy
Biopsy, Needle
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - physiopathology
Carcinoma, Squamous Cell - surgery
Chronic Disease
Disease Progression
Femur - surgery
Follow-Up Studies
Humans
Immunohistochemistry
Injury Severity Score
Leg Injuries - complications
Leg Injuries - diagnostic imaging
Leg Injuries - physiopathology
Leg Ulcer - pathology
Leg Ulcer - physiopathology
Leg Ulcer - therapy
Male
malignancy
Middle Aged
Orthopedics
Radiography - methods
Rare Diseases
Risk Assessment
Severity of Illness Index
Skin Neoplasms - pathology
Skin Neoplasms - physiopathology
Skin Neoplasms - surgery
squamous cell carcinoma
trauma
Treatment Outcome
Treatment Refusal
wound care
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Summary:Abstract Marjolin's ulcer is a rare and aggressive cutaneous malignancy arising from previously traumatized skin, most commonly at the site of previous burns. We present a unique case of Marjolin's ulceration secondary to an orthopedic injury and a nonburn history of trauma. The patient had been involved in a motorcycle accident >20 years earlier. For 17 months, the patient had refused to acknowledge the severity of his disease state. He had refused the standard of care and opted for local wound care only until a minor fall caused a pathologic fracture, leading to an above the knee amputation. Road traffic incidents remain an uncommon cause of subsequent Marjolin's transformation in developed countries. As such, we present the case of a patient with a unique combination of a continued lack of compliance after diagnosis and the unusual cause of his initial trauma.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2016.07.011