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Online Publishing Date:
19 / 12 / 2022

 


A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital

Ravi Hullamballi Shivaiah, Ravi Krishnappa, Naveen Narayan.


Abstract
Background: Marjolin's ulcer (MU), arising from chronic wounds and scars, is an aggressive malignancy which occurs after a latency period and can be potentially fatal. It has high risk of metastases and its management requires early diagnosis, well formulated treatment plan and prompt surgical intervention to ensure patient survival and quality of life. The purpose of this research is to study the clinical characteristics and management of MU at our tertiary center.
Methods: A prospective study of patients with MU who underwent treatment at our center between July 2016 and June 2021 was conducted. Demographic data, etiology of initial injury, latency period, lymph node metastasis, treatment and recurrence were analyzed.
Results: Out of 23 patients in study group, burns were the most common etiology of malignant degeneration (47.8%). The mean latency period was 5 years (IQR 3-8 years). Statistical analysis revealed a negative correlation between the age of patients at injury and the length of latency period (r = −0.652, P <0.01). The lower extremity was most affected (52.2%) and Squamous Cell Carcinoma was found in 86.9% of cases. Wide local excision with reconstruction was performed in 95.6% of cases.
Conclusion: In our study, MU occurred most in burn scars with male preponderance and SCC being dominant variant. Incidence of MU in our study was relatively higher mainly attribute to ignorance of the local people. MU may be preventable with a high index of suspicion and close surveillance of chronic wounds with suspected lesions being biopsied.

Key words: Marjolin's Ulcer, Chronic Wound, Burns, Scar, Squamous Cell Carcinoma, Skin Grafting, Flap


 
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How to Cite this Article
Pubmed Style

Shivaiah RH, Krishnappa R, Narayan N. A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. Int J Surg Med. 2022; 8(3): 56-63. doi:10.5455/ijsm.136-1639915449

Web Style

Shivaiah RH, Krishnappa R, Narayan N. A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. https://www.ejos.org/?mno=81677 [Access: February 20, 2024]. doi:10.5455/ijsm.136-1639915449

AMA (American Medical Association) Style

Shivaiah RH, Krishnappa R, Narayan N. A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. Int J Surg Med. 2022; 8(3): 56-63. doi:10.5455/ijsm.136-1639915449


Vancouver/ICMJE Style

Shivaiah RH, Krishnappa R, Narayan N. A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. Int J Surg Med. (2022), [cited February 20, 2024]; 8(3): 56-63. doi:10.5455/ijsm.136-1639915449


Harvard Style

Shivaiah, R. H., Krishnappa, . R. & Narayan, . N. (2022) A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. Int J Surg Med, 8 (3), 56-63. doi:10.5455/ijsm.136-1639915449


Turabian Style

Shivaiah, Ravi Hullamballi, Ravi Krishnappa, and Naveen Narayan. 2022. A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. International Journal of Surgery and Medicine, 8 (3), 56-63. doi:10.5455/ijsm.136-1639915449


Chicago Style

Shivaiah, Ravi Hullamballi, Ravi Krishnappa, and Naveen Narayan. "A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital." International Journal of Surgery and Medicine 8 (2022), 56-63. doi:10.5455/ijsm.136-1639915449


MLA (The Modern Language Association) Style

Shivaiah, Ravi Hullamballi, Ravi Krishnappa, and Naveen Narayan. "A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital." International Journal of Surgery and Medicine 8.3 (2022), 56-63. Print. doi:10.5455/ijsm.136-1639915449


APA (American Psychological Association) Style

Shivaiah, R. H., Krishnappa, . R. & Narayan, . N. (2022) A Clinical Study of Marjolin's Ulcer - An Avertible Tumor of Chronic Wounds and Scars - and Its Management in a Rural Tertiary Care Hospital. International Journal of Surgery and Medicine, 8 (3), 56-63. doi:10.5455/ijsm.136-1639915449


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