Marjolin’s ulcers in the post-burned lesions and scars
Identifieur interne : 004883 ( Pmc/Corpus ); précédent : 004882; suivant : 004884Marjolin’s ulcers in the post-burned lesions and scars
Auteurs : Muhammad Saaiq ; Bushra AshrafSource :
- World Journal of Clinical Cases : WJCC [ 2307-8960 ] ; 2014.
Abstract
Marjolin’s ulcer (MU) represents malignant degeneration that typically ensues over a period of time in the post-burned lesions and scars or any other chronic wound. This review highlights various facets of the presentation and management of MUs that originate from post-burned lesions. The incidence of MUs in such lesions is reported to be 0.77%-2%. This malignancy characteristically develops in the areas of full thickness skin burns that had been allowed for weeks to months to heal spontaneously by secondary intention, or burn wounds which never healed completely over years and the unstable post-burned scars. In the majority of cases, the MU is a squamous cell carcinoma (SCC). The MUs contribute to an overall 2% of all SCCs and 0.03% of all basal cell carcinomas of the skin. Clinically MUs present in two major morphologic forms. The commoner form is the flat, indurated, ulcerative variety while the less common form is the exophytic papillary variety. Lower limbs represent the most frequently affected body parts. Surgical resection of the primary tumor with 2-4 cm horizontal clearance margin, nodal clearance and radiotherapy constitute the cornerstones of effective oncologic management. Despite best efforts, the overall mortality is reported to be 21%.
Url:
DOI: 10.12998/wjcc.v2.i10.507
PubMed: 25325060
PubMed Central: 4198402
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PMC:4198402Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Marjolin’s ulcer (MU) represents malignant degeneration that typically ensues over a period of time in the post-burned lesions and scars or any other chronic wound. This review highlights various facets of the presentation and management of MUs that originate from post-burned lesions. The incidence of MUs in such lesions is reported to be 0.77%-2%. This malignancy characteristically develops in the areas of full thickness skin burns that had been allowed for weeks to months to heal spontaneously by secondary intention, or burn wounds which never healed completely over years and the unstable post-burned scars. In the majority of cases, the MU is a squamous cell carcinoma (SCC). The MUs contribute to an overall 2% of all SCCs and 0.03% of all basal cell carcinomas of the skin. Clinically MUs present in two major morphologic forms. The commoner form is the flat, indurated, ulcerative variety while the less common form is the exophytic papillary variety. Lower limbs represent the most frequently affected body parts. Surgical resection of the primary tumor with 2-4 cm horizontal clearance margin, nodal clearance and radiotherapy constitute the cornerstones of effective oncologic management. Despite best efforts, the overall mortality is reported to be 21%.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Clin Cases</journal-id>
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<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<title-group><article-title>Marjolin’s ulcers in the post-burned lesions and scars</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Saaiq</surname>
<given-names>Muhammad</given-names>
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<contrib contrib-type="author"><name><surname>Ashraf</surname>
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<aff>Muhammad Saaiq, Bushra Ashraf, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad 44000, Pakistan</aff>
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<author-notes><fn><p>Author contributions: Saaiq M conceived and designed the format of the review; Saaiq M and Ashraf B performed the literature search and participated in the analysis, interpretation and contextualization of the literature in writing the manuscript; the two authors critically reviewed, refined and approved the manuscript.</p>
<p>Correspondence to: Muhammad Saaiq, MBBS, FCPS, Assistant Professor, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Room No. 20, MOs Hostel, Islamabad 44000, Pakistan. <email>muhammadsaaiq5@gmail.com</email>
</p>
<p>Telephone: +92-341-5105173</p>
</fn>
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<pub-date pub-type="ppub"><day>16</day>
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<volume>2</volume>
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<lpage>514</lpage>
<history><date date-type="received"><day>23</day>
<month>4</month>
<year>2014</year>
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<date date-type="rev-recd"><day>21</day>
<month>5</month>
<year>2014</year>
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<date date-type="accepted"><day>27</day>
<month>8</month>
<year>2014</year>
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<permissions><copyright-statement>©2014 Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
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<abstract><p>Marjolin’s ulcer (MU) represents malignant degeneration that typically ensues over a period of time in the post-burned lesions and scars or any other chronic wound. This review highlights various facets of the presentation and management of MUs that originate from post-burned lesions. The incidence of MUs in such lesions is reported to be 0.77%-2%. This malignancy characteristically develops in the areas of full thickness skin burns that had been allowed for weeks to months to heal spontaneously by secondary intention, or burn wounds which never healed completely over years and the unstable post-burned scars. In the majority of cases, the MU is a squamous cell carcinoma (SCC). The MUs contribute to an overall 2% of all SCCs and 0.03% of all basal cell carcinomas of the skin. Clinically MUs present in two major morphologic forms. The commoner form is the flat, indurated, ulcerative variety while the less common form is the exophytic papillary variety. Lower limbs represent the most frequently affected body parts. Surgical resection of the primary tumor with 2-4 cm horizontal clearance margin, nodal clearance and radiotherapy constitute the cornerstones of effective oncologic management. Despite best efforts, the overall mortality is reported to be 21%.</p>
</abstract>
<kwd-group><kwd>Marjolin’s ulcer</kwd>
<kwd>Malignant degeneration</kwd>
<kwd>Post-burned scars and wounds</kwd>
<kwd>Sentinel lymph node dissection</kwd>
<kwd>Squamous cell carcinoma</kwd>
<kwd>Full thickness skin burns</kwd>
<kwd>Healing by secondary intention</kwd>
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