Malignant change after 18 months in a lower limb ulcer: acute Marjolin's revisited
Thio, D Clarkson, J. H. W. Misra, A Srivastava, S
Thio, D
Clarkson, J. H. W.
Misra, A
Srivastava, S
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George Eliot Hospital NHS Trust
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Publication date
2003-12
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Abstract
Lower limb ulcers present a common clinical problem and are at risk of malignant change. A Marjolin's ulcer has traditionally been regarded as malignant change in a long standing ulcer and/or scar tissue. We report a case of Marjolin's degeneration that developed in an ulcer only 18 months following the initial injury. Such a short latent period has not been reported for over 70 years. This report highlights the possibility of early Marjolin's change and we propose a ranked diagnostic screen to aid in early identification of possible malignant change, based on the current published evidence.
Citation
Thio D, Clarkson JH, Misra A, Srivastava S. Malignant change after 18 months in a lower limb ulcer: acute Marjolin's revisited. Br J Plast Surg. 2003 Dec;56(8):825-8. doi: 10.1016/j.bjps.2003.08.016.
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