Schnell Lucas G, Danks Roy R
Kansas City University of Medicine and Biosciences, Kansas City, Missouri, USA.
J Burn Care Res. 2009 May-Jun;30(3):533-5. doi: 10.1097/BCR.0b013e3181a28fa7.
Marjolin's ulcers, or malignancy originating from burn scars, have been recorded in the literature since the first century AD (Ozek et al. Marjolin's ulcers arising in burn scars. J Burn Care Rehabil 2001;22:384-9). The majority of cases of Marjolin's ulcers occur in primary burn scar sites with few reported cases following secondary graft placement. We report a case of Marjolin's ulcer that developed in a 57-year-old man, 46 years after initial skin graft placement following a left lower extremity burn. The patient presented to us following diagnosis of squamous cell carcinoma of the verucous type lesion. Wide surgical excision was performed and a split thickness skin graft was applied. The postoperative course was uneventful and no recurrences have occurred. To our knowledge, this is the largest reported Marjolin's case recorded in the literature.
马乔林溃疡，即起源于烧伤瘢痕的恶性肿瘤，自公元1世纪起就已见诸文献记载（奥泽克等人。烧伤瘢痕中发生的马乔林溃疡。《烧伤护理与康复杂志》2001年；22:384 - 389）。大多数马乔林溃疡病例发生在原发性烧伤瘢痕部位，二次植皮后发生的病例报道较少。我们报告一例马乔林溃疡病例，该病例发生在一名57岁男性身上，其左下肢烧伤后首次植皮46年后出现。患者在诊断为疣状型鳞状细胞癌病变后前来就诊。进行了广泛的手术切除并应用了中厚皮片移植。术后过程顺利，未发生复发。据我们所知，这是文献中报道的最大的马乔林溃疡病例。
