title: Burn scar carcinoma. Diagnosis and management.
abstract: BACKGROUND
  The term Marjolin ulcer is now synonymous with malignant transformation of chronic ulcers, sinus tracts, and burn scars.
  
  
  OBJECTIVE
  To illustrate the importance of incisional or excisional biopsies in cases of suspected burn scar carcinoma.
  
  
  METHODS
  Case report and review of the literature.
  
  
  RESULTS
  Multiple punch biopsies were negative while a complete excision revealed the diagnosis of squamous cell carcinoma.
  
  
  CONCLUSIONS
  Because of the focal nature of malignant change in burn scars, incisional or excisional biopsy should be performed.
authors.affiliation: Department of Dermatology, Boston University School of Medicine, Massachusetts 02118-2394, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Phillips
authors.forename: S M
authors.initials: SM
authors.lastname: Salman
authors.forename: J
authors.initials: J
authors.lastname: Bhawan
authors.forename: G S
authors.initials: GS
authors.lastname: Rogers
mesh_terms: D000005:Abdomen; D002056:Burns / Q000150:complications*; D002278:Carcinoma in Situ / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002921:Cicatrix / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D017169:Neoplasms, Post-Traumatic / Q000175:diagnosis / Q000601:surgery; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D016038:Skin Transplantation