MARJHOLIN ULCER: OVERVIEW

Abstract

Background: Marjholins ulcer is a rare disease with limited clinical recommendations regarding management of the lymph nodes. 

Materials and Methods: A retrospective analyses of medical records of patients treated in a single unit with a diagnosis of Marjolin's ulcer was performed. 

Results: During the study period, 18 patients were treated. Four patients had lymph node metastases at the time of presentation for which wide excision with lymph-node dissection done. 14 patients underwent wide excision with reconstruction. During the follow up out of 14 patient two patients developed local recurrence and 7 patients Lymph-node Mets.  Metastases. 

Conclusion:  The node positivity rate in patients in post of follow-up much higher than reported in marjholins ulcer with a high-risk primary tumor but clinically negative groins. This argues against routine prophylactic inguinal ILND in patients with marjholins who are clinically N0.

Keywords: Chronic ulcers, cutaneous malignancy, Marjolin?s ulcer, squamous cell carcinoma