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Peer-reviewedCC BYJournal of surgical case reports

Surgical management of Marjolin’s ulcer secondary to chronic burn scar: a case report

Abstract

Marjolin’s ulcer is a rare malignancy originating from chronically injured skin with a prolonged latency period. We report a 71-year-old male with a 34-year history of a chronic burn scar ulcer in the left popliteal fossa that underwent malignant transformation. Histopathology confirmed moderately-to-well-differentiated squamous cell carcinoma. His comorbidities included stage 4 chronic kidney disease and hypertension. Following multidisciplinary assessment, wide local excision combined with punch skin grafting was performed. The grafts took well, and no recurrence was noted at short-term follow-up. Chronic post-burn scar ulcers require long-term surveillance, early biopsy, and individualized surgical planning, especially in patients with multiple comorbidities.

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BibTeX
@article{zhang2026surgical,
  title = {{Surgical management of Marjolin’s ulcer secondary to chronic burn scar: a case report}},
  author = {Yu Zhang and Jia Wang and Shengyuan Jin},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag1009},
  url = {https://europepmc.org/article/PMC/PMC13723270},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Surgical management of Marjolin’s ulcer secondary to chronic burn scar: a case report
AU  - Yu Zhang
AU  - Jia Wang
AU  - Shengyuan Jin
PY  - 2026
DA  - 2026/10/01
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag1009
UR  - https://europepmc.org/article/PMC/PMC13723270
AB  - Marjolin’s ulcer is a rare malignancy originating from chronically injured skin with a prolonged latency period. We report a 71-year-old male with a 34-year history of a chronic burn scar ulcer in the left popliteal fossa that underwent malignant transformation. Histopathology confirmed moderately-to-well-differentiated squamous cell carcinoma. His comorbidities included stage 4 chronic kidney disease and hypertension. Following multidisciplinary assessment, wide local excision combined with punch skin grafting was performed. The grafts took well, and no recurrence was noted at short-term follow-up. Chronic post-burn scar ulcers require long-term surveillance, early biopsy, and individualized surgical planning, especially in patients with multiple comorbidities.
SN  - 2042-8812
ER  -