title: Management of Marjolin's ulcer in a chronic pressure sore secondary to paraplegia: a radical surgical solution.
abstract: Marjolin's ulcer refers to malignant degeneration in a chronic wound. Although originally described in an area of burns scar, many other chronic wounds such as osteomyelitis sinus tracts, venous stasis ulcers and chronic pressure sores have the potential to undergo malignant transformation. We present an interesting case of malignant degeneration in a male paraplegic patient with chronic sacral and ischial pressure sores. By discussing our radical surgical solution to this problem, we aim to highlight the importance of prompt diagnosis.
authors.affiliation: Department of Plastic Surgery, St Johns Hospital, Livingston, West Lothian EH54 6PP, UK. NGF174@hotmail.com
authors.forename: Neil G
authors.initials: NG
authors.lastname: Fairbairn
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Hamilton
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications*; D011230:Precancerous Conditions; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D014945:Wound Healing