Abstract
Background: Marjolin’s ulcer (MU) represents malignant degeneration thattypically ensues over a period of time in the post-burned lesions and scars or any other chronicwound. The worldwide incidence of MUs in such lesions is reported to be 0.77%-2%. Objectives:To determine the frequency of malignancy in post burn scars. Study Design: Descriptive, crosssectional. Place & Setting: Department of Plastic & Reconstructive Surgery, Dow Universityof Health Sciences & Dr Ruth KM Pfau Civil Hospital Karachi. Duration: December 2014 toNovember 2017. Materials & Methods: A selection criterion was defined and via non probabilityconsecutive sampling. Sample Size: 80 patients. Results: The mean age of the patients was48.6 ± 9.2years with range (30 to 60 years). The mean duration of scars was found in ourstudy to be 20.4+5.1 years. Out of 80 patients, 33 (41%) were male and 47 (59%) were female.Malignancy was recorded in 66(82.5%) patients with post burn scar. The most common typeof malignancy was squamous cell carcinoma in 27 patients (33%). Conclusion: A high indexof suspicion is required when dealing with chronic non-healing ulcers. In our environmentearly recognition and aggressive treatment of Marjolin’s ulcers and close follow-up are vital forprevention and also to improve outcome.
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