Malignant transformation of a non-healing traumatic wound on the lower extremity: A case report

Deborah-Leigh Day; Wahida Chakari; Steen Henrik Matzen

doi:10.1016/j.ijscr.2018.11.026

Malignant transformation of a non-healing traumatic wound on the lower extremity: A case report

Deborah-Leigh Day, Wahida Chakari, Steen Henrik Matzen

Department of Plastic Surgery and Burns Treatment

Abstract

OBJECTIVE: Malignant transformation of chronic non-healing wounds is often overlooked. If a chronic wound fails to heal, or if there are changes in the characteristics of a wound, a biopsy should be performed.

METHODS: This case is presented in line with SCARE guidelines.

PRESENTATION OF CASE: We present a case of a man with a non-healing traumatic wound over two years in which a basal cell carcinoma was diagnosed by biopsy. The basal cell carcinoma was radically excised and the defect was closed using a split thickness skin transplant.

DISCUSSION: The term Marjolin's ulcer, pathophysiology and recommended treatment.

CONCLUSION: Delayed diagnosis of malignancy in chronic wounds can lead to a worsened prognosis and therefore it is important to exclude a malignant aetiology. Malignant transformation of chronic wounds is not common but Marjolin's ulcer should be considered.

Original language	English
Journal	International Journal of Surgery Case Reports
Volume	53
Pages (from-to)	468-470
Number of pages	3
ISSN	2210-2612
DOIs	https://doi.org/10.1016/j.ijscr.2018.11.026
Publication status	Published - 2018

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10.1016/j.ijscr.2018.11.026

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title = "Malignant transformation of a non-healing traumatic wound on the lower extremity: A case report",

abstract = "OBJECTIVE: Malignant transformation of chronic non-healing wounds is often overlooked. If a chronic wound fails to heal, or if there are changes in the characteristics of a wound, a biopsy should be performed.METHODS: This case is presented in line with SCARE guidelines.PRESENTATION OF CASE: We present a case of a man with a non-healing traumatic wound over two years in which a basal cell carcinoma was diagnosed by biopsy. The basal cell carcinoma was radically excised and the defect was closed using a split thickness skin transplant.DISCUSSION: The term Marjolin's ulcer, pathophysiology and recommended treatment.CONCLUSION: Delayed diagnosis of malignancy in chronic wounds can lead to a worsened prognosis and therefore it is important to exclude a malignant aetiology. Malignant transformation of chronic wounds is not common but Marjolin's ulcer should be considered.",

author = "Deborah-Leigh Day and Wahida Chakari and Matzen, {Steen Henrik}",

year = "2018",

doi = "10.1016/j.ijscr.2018.11.026",

language = "English",

volume = "53",

pages = "468--470",

journal = "International Journal of Surgery Case Reports",

issn = "2210-2612",

publisher = "Elsevier Ltd",

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TY - JOUR

T1 - Malignant transformation of a non-healing traumatic wound on the lower extremity

T2 - A case report

AU - Day, Deborah-Leigh

AU - Chakari, Wahida

AU - Matzen, Steen Henrik

PY - 2018

Y1 - 2018

N2 - OBJECTIVE: Malignant transformation of chronic non-healing wounds is often overlooked. If a chronic wound fails to heal, or if there are changes in the characteristics of a wound, a biopsy should be performed.METHODS: This case is presented in line with SCARE guidelines.PRESENTATION OF CASE: We present a case of a man with a non-healing traumatic wound over two years in which a basal cell carcinoma was diagnosed by biopsy. The basal cell carcinoma was radically excised and the defect was closed using a split thickness skin transplant.DISCUSSION: The term Marjolin's ulcer, pathophysiology and recommended treatment.CONCLUSION: Delayed diagnosis of malignancy in chronic wounds can lead to a worsened prognosis and therefore it is important to exclude a malignant aetiology. Malignant transformation of chronic wounds is not common but Marjolin's ulcer should be considered.

AB - OBJECTIVE: Malignant transformation of chronic non-healing wounds is often overlooked. If a chronic wound fails to heal, or if there are changes in the characteristics of a wound, a biopsy should be performed.METHODS: This case is presented in line with SCARE guidelines.PRESENTATION OF CASE: We present a case of a man with a non-healing traumatic wound over two years in which a basal cell carcinoma was diagnosed by biopsy. The basal cell carcinoma was radically excised and the defect was closed using a split thickness skin transplant.DISCUSSION: The term Marjolin's ulcer, pathophysiology and recommended treatment.CONCLUSION: Delayed diagnosis of malignancy in chronic wounds can lead to a worsened prognosis and therefore it is important to exclude a malignant aetiology. Malignant transformation of chronic wounds is not common but Marjolin's ulcer should be considered.

U2 - 10.1016/j.ijscr.2018.11.026

DO - 10.1016/j.ijscr.2018.11.026

M3 - Journal article

C2 - 30567071

SN - 2210-2612

VL - 53

SP - 468

EP - 470

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

ER -

Malignant transformation of a non-healing traumatic wound on the lower extremity: A case report

Abstract

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