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What are Marjolin Ulcers?
Marjolin ulcers are a uncommon and belligerent case ofskin cancerthat grows from burns , poorly healed wounds , and scars . Jean Nicolas Marjolin first described these specific genus Cancer changes in scar tissue and they got named after him.(1)Marjolin ulceration are also known as burning ulcers .
Marjolin ulcers , in the early stages , expect as flat and hard sore at the land site of a scar or burn , which is not heal for 3 month or more . They often take up as small-scale blisters over an one-time cicatrice . As the sore chassis , there may be a foul smell , bleeding , severe pain in the ass , and crust . The ulcer may open and close repeatedly and may also continue to produce .
How Does Marjolin Ulcer Develop?
Marjolin ulcer develop from premature traumatized , hurt , and tegument that is chronically inflamed . 2 pct of Marjolin ulceration develop from suntan scars.(2)They can also develop from osseous tissue infections , opened sores , amputation , skin grafts , vaccinationscars , radiotherapy - treat scars , and snakebite scars.(1 )
These areas of skin harm turning into cancer may be due to the following rationality :
It is seen that man are more potential to develop Marjolin ulcers than women.(3 )
Most of the Marjolin ulcer are squamous cellular phone cancers as they develop in the upper layers of the skin . Sometimes they develop in the deeper layer and are basal electric cell neoplasm .
Signs of Marjolin Ulcers
Marjolin ulcers spring up slowly and may take 30 - 35 year to turn cancerous . Irritation and damage around the injured expanse are the first mansion of Marjolin ulcers . The cutis itch , burns , and forms blisters . before long a new open sore develop that is filled with several hard lump around the injure country . This makes them look like bland ulceration with edges that are raised . Marjolin ulcers are more likely to grow on the brain , neck , legs , and feet .
Diagnosis of Marjolin Ulcers
A doctor touch a person to a dermatologist if he has a scrape that has not bring around even after 3 months . If the sore is suspected to be cancerous a biopsy is done , in which a small sample from the lesion is taken and is test for genus Cancer .
Ultrasoundis done to try the surroundinglymph nodesand if anything wary is detected the lymph lymph gland near the sore is removed and examine for cancer and this procedure is known as sentinel lymph node biopsy . Depending on the outcome of the biopsy , aCT scanandMRI scanare done to verify that cancer does not spread to bones and other organ .
Treatment of Marjolin Cancer
The treatment of Marjolin ulcer is the removal of the tumor . The unlike methods of surgery are :
After the surgery , a skin graft is needed to cover up the area from where the skin is removed . Even after the treatment , a follow - up with the doctor is recommend .
Is it Possible to Prevent Marjolin Ulcer?
To forbid Marjolin ulcers or hard burns , it is important to get emergency service . This can serve in reduce the risk of developing Marjolin ulceration . For sore and burns not mend after 2 - 3 weeks , medical attending is a must . Also , if an old burn or scar starts recrudesce a sore , a Doctor of the Church should be informed .
Marjolin ulcers are a very serious type of skin Crab and the outlook depends on the size of the tumor and how aggressive it is . Additionally , Marjolin ulcers can return even after they have been get rid of . Therefore , if someone had a Marjolin ulcer in past , regular follow - up with a doctor is important .
