Marjolin's ulcer developing in a post-traumatic scar: management with negative pressure wound therapy and split-thickness skin grafting.
Simas Gindriūnas, Emilija Dedelytė, Loreta Pilipaitytė et al.
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Case in brief
A man in his 60s presented with a large, non-healing ulcer at the site of a traumatic injury and reconstructive surgery from three decades prior. Clinical suspicion of malignancy led to wide local excision and sentinel lymph node biopsy. Negative pressure wound therapy was employed to prepare the wound bed, which was complicated by a local infection. Successful reconstruction with split-thickness skin grafting resulted in complete graft take and satisfactory functional outcome.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for malignancy in chronic ulcers, as early biopsy can lead to timely intervention.
Why it matters
This case underscores the effectiveness of multidisciplinary management and negative pressure wound therapy in optimizing outcomes after oncological resections.