Rare Presentation of a Marjolin's Ulcer Secondary to a Post-Traumatic Injury

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• 作者：Kaitlyn Bernhard ; DPM¹ ; Kenneth Morgan ; DPM² ; Dustin Kruse ; DPM ; MA ; FACFAS³ ; Paul A. Stone ; DPM ; FACFAS⁴ ; ^{pstonehighlandspslresidency@comcast.net}
• 关键词：4
• 刊名：The Journal of Foot and Ankle Surgery
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：56
• 期：1
• 页码：112-116
• 全文大小：1252 K
• 卷排序：56

文摘

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.