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Scholars Journal of Medical Case Reports | Volume-9 | Issue-02
Marjolin’s Ulcer: Exceptional and Dreadful Complication of Surgical Wounds (About 2 Cases)
Z. Rkiba, A. Messoudi, A. Abdullah, M. Rafai, A. Garch
Published: Feb. 16, 2021 |
182
116
DOI: 10.36347/sjmcr.2021.v09i02.009
Pages: 141-144
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Abstract
Marjolin’s ulcer is a rare and aggressive pathological entity of skin cancers. It is often neglected and therefore poorly managed. It results from a malignant transformation of chronic wounds of a heterogeneous nature. We report two observations of rare forms of squamous cell carcinoma occurring in superinfected and chronic surgical wounds. The mechanism of degeneration is still unknown, various etiological factors are incriminated; all chronic wounds have a potential risk of degeneration. Thus, any scar that does not respond to local treatment for 3 to 6 months is at risk of malignant transformation and requires verification by biopsies performed adequately and repeatedly in order to have an early diagnosis of Marjolin’s ulcer. The occurrence of metastases is the main prognostic factor.