Reports of an association between burn scars and neoplasia date back to the time of Celsus [1]. DaCosta in the early 20th century coined the term Marjolin’s ulcer in honor of Dr. JeanNicholas Marjolin, a French surgeon who described the lesions in 1828 [2–5]. Many of the larger reported series on Marjolin’s ulcers are from the African continent where burn scar carcinoma comprises a large portion of all skin cancers [6–9]. Despite the widespread recognition of this pathologic entity, controversy persists on the optimal strategies for management of regional lymph nodes. In this report we describe a technique of wide local excision plus sentinel lymph node dissection (SLND). Burn scar associated primary malignancies are histologically heterogeneous. The lesions are frequently squamous cell carcinoma (SCC), however, basal cell, melanoma and sarcomas have also been recognized [1,2]. The term Marjolin’s ulcer is most commonly applied to the squamous cell variant. The disease may present in an acute or chronic form depending on the duration between diagnosis and initial thermal injury [2]. The duration of the latency period is inversely related to the patient’s age at the time of the burn [2]. Other types of wounds,