Marjolin’s Ulcer Complicating A Pressure Sore
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Rehabilitation Unit, Department of Orthopaedic and Traumatology, University Kebangsaan Malaysia Medical Centre, Malaysia
Plastic Surgery Unit, Department of Surgery, University Malaya Medical Centr, Malaysia
Publication date: 2011-07-11
Corresponding author
Ohnmar Htwe   

Rehabilitation Physician, Rehabilitation Unit, Department of Orthopaedics and Traumatology, University Kebangsaan Malaysia Medical Centre,Jalan Yaacob Latif, Bandar Tun Razak, Cheras (56000),Kuala Lumpur, West. Malaysia
Eur J Gen Med 2011;8(3):246-249
Malignancy in a chronic pressure sore is rare among Marjolin’s ulcers. Carcinomas arising in pressure sores are highly aggressive and usually fatal and therefore, they need to be treated more aggressively. We report a case of squamous carcinoma arising in a pressure sore of a 33-year-old paraplegic man who developed a sacral pressure sore with unstable healing for 10 years and a steady increase in size in the past 6 months was noted. The biopsy result showed a well differentiated invasive squamous cell carcinoma. A high index of suspicion is necessary for long standing pressure ulcer in this frequently neglected group of people to enable early diagnosis and treatment.
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