title: Marjolin's ulcer--a near forgotten entity.
abstract: We report a case of a 55-year-old man who presented with a 6-month history of a fungating ulcer on the right hand at the site of a previously healed ulcer that had been present for 40 years. Histopathological examination of four-quadrant biopsy specimens showed a moderately differentiated squamous cell carcinoma (SCC). A transradiocarpal amputation with stump closure using radial flap was performed as it was not possible to achieve a functionally and cosmetically acceptable hand after a wide excision with 2 cm tumour-free margin. It is our intention to highlight this rare condition as reminder to consider this entity as a differential diagnosis of chronic non-healing skin ulcer.
authors.affiliation: Department of Orthopaedic Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: B C
authors.initials: BC
authors.lastname: Tan
authors.forename: T C
authors.initials: TC
authors.lastname: Horton
authors.forename: T
authors.initials: T
authors.lastname: Sara Ahmad
mesh_terms: D030981:Acro-Osteolysis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D006225:Hand / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012307:Risk Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012883:Skin Ulcer / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013577:Syndrome