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Advances in Skin & Wound Care:
doi: 10.1097/01.ASW.0000383211.18782.2a
Features: Original Investigations

Marjolin's Ulcer: Sequelae of Mismanaged Chronic Cutaneous Ulcers

Asuquo, Maurice E. MBBS, FWACS, FICS; Ikpeme, Ikpeme A. MBBS, FWACS, FICS; Ebughe, Godwin MBBCH, FMCPATH; Bassey, Ekpo E. BSc, MBBCH

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Abstract

OBJECTIVE: This study was to evaluate the current pattern and risk factors of Marjolin's ulcer in the authors' setting.

SETTINGS AND PARTICIPANTS: Twenty-one patients with histological diagnosis of skin malignancy at the University of Calabar Teaching Hospital, Calabar, Nigeria.

METHODS: Presented are patients with histologic diagnosis of Marjolin's seen in the University of Calabar Teaching Hospital, Calabar, Nigeria from January 2007 through December 2007.

RESULTS: Five patients (3 men and 2 women) with Marjolin's ulcer whose ages ranged from 32 to 70 years (mean 46.6 years) accounted for 45.5% of squamous cell carcinoma. All the patients suffered traumatic injuries (4 lower limb injuries from road traffic accidents and 1 puncture wound of the upper limb) and the latency was 21.4 years.

CONCLUSIONS: Chronic trauma-induced limb ulceration is the leading risk factor for Marjolin's ulcer. Health education, early detection, and proper management of chronic wounds would improve outcome.

© 2010 Lippincott Williams & Wilkins, Inc.

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