Rare Presentation of a Marjolin's Ulcer Secondary to a Post-Traumatic Injury.
Marjolin's ulcer is a rare and aggressive cutaneous malignancy arising from previously traumatized skin, most commonly at the site of previous burns. We present a unique case of Marjolin's ulceration secondary to an orthopedic injury and a nonburn history of trauma. The patient had been involved in a motorcycle accident >20 years earlier. For 17 months, the patient had refused to acknowledge the severity of his disease state. He had refused the standard of care and opted for local wound care only until a minor fall caused a pathologic fracture, leading to an above the knee amputation. Road traffic incidents remain an uncommon cause of subsequent Marjolin's transformation in developed countries. As such, we present the case of a patient with a unique combination of a continued lack of compliance after diagnosis and the unusual cause of his initial trauma.
Second Year Resident, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Kaitlyn
K
Bernhard
Attending Staff, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Kenneth
K
Morgan
Director of Research, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Dustin
D
Kruse
Program Director, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO. Electronic address: pstonehighlandspslresidency@comcast.net.
Paul A
PA
Stone
D000063:Accidents, Traffic; D000671:Amputation, Surgical / Q000379:methods*; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D002908:Chronic Disease; D018450:Disease Progression; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D015601:Injury Severity Score; D007869:Leg Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D007871:Leg Ulcer / Q000473:pathology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011859:Radiography / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D016312:Treatment Refusal
biopsy; malignancy; squamous cell carcinoma; trauma; wound care