Development of Bilateral Lower Extremity Marjolin Ulcers After Childhood Burns

Abstract not available. Introduction provided instead.

A Marjolin ulcer is a carcinoma, usually squamous cell, that originates in a chronically irritated or traumatized area, most commonly secondary to a deep tissue burn. The cancer is commonly aggressive and carries with it a poorer prognosis than a traditional squamous cell carcinoma does.¹ The lesion commonly presents unilaterally with localized pain, foul-smelling discharge, and hemorrhage usually on the extremities or trunk, often with a time lag of decades from initial injury to malignancy.² In a literature search, we identified only 2 instances of bilateral presentation. In this report, we describe a rare clinical case of bilateral lower extremity Marjolin ulcers and detail the common clinical presentation, treatment options, and prognosis of this aggressive carcinoma.