27- marjolin ulcer fmge march 2012

q-27 marjolin ulcer is precancerous lesion for what cancer ?


a.squamous cell cancer


b.basal cell cancer


c.adeno carcinoma


d.none of the above


answer:squamous cell cancer

marjolin ulcer

Dr. Jean Nicolas Marjolin first described the occurrence of ulcerating lesions within scar tissue in 1828. Marjolin’s ulcer is the term given to these aggressive epidermoid tumors that arise from areas of chronic injury, with burn wounds being a common site.

marjoin ulcer refers to an aggressive ulcerating squamous cell carcinoma presenting in an area of previously traumatized,chronically inflamed or scarred skin.

commonly present in the context of scarred wounds including

1.burn injuries

2.venous ulcers

3.ulcers from osteomyelitis

4.post radiotherapy scars

slow growth 

painlessness (as the ulcer is not associated with nerve tissue),
absence of lymphatic spread due to local destruction of lymphatic channels

histologically

1.the tumour is well differentiated squamous cell carcinoma

2.aggressive in nature and spreads locally

3.associated with poor prognosis

4.40 percent usually occur in the lower limb and the malignant change is usually painless.

other frequently asked questions on marjoin ulcers?


squamous cell cancer in burn patients is ?


a.rodents ulcer


b.bazins ulcer


c.martorells ulcer


d.marjoin ulcer - answer


rodent ulcer is seen in : basal cell carcinoma


martorells ulcer is a hypertensive or atherosclerotic ulcer


bazins ulcer is a erythrocyanoid ulcer