TITLE:
Marjolin’s Ulcer at the Kara Teaching Hospital (Togo)
AUTHORS:
Tchaa Hodabalo Towoezim, Tamegnon Dossouvi, Yaovi Yanick Dellanh, Kokou Kanassoua, Irokoura Kassegne, Pio-Faré Gnandi, Anani Abalo, Ekoué David Dosseh
KEYWORDS:
Ulcer, Marjolin, Cancer, Squamous Cell Carcinoma, Amputation
JOURNAL NAME:
Surgical Science,
Vol.13 No.1,
January
25,
2022
ABSTRACT: Marjolin’s
ulcer is an aggressive tumor that occurs on a chronic non-healing wounds or burn
scars. It’s a rare disease. Histologically, it is most
often a squamous cell carcinoma. The real frequency is not known. Its incidence
would be higher in developing countries where ancestral beliefs and financial difficulties
cause consultation delays. Thus the diagnosis is delayed, due in part to the lack
or insufficiency of diagnostic means. Our study aimed to describe the epidemiological,
diagnostic and therapeutic particularities through three cases treated in our center.
The delay in consultation resulted in the death of one patient, while for the other
two, amputation prevented the extension of the tumor. Limb amputation is increasingly
rare in the management of Marjolin’s ulcer, but in our difficult conditions it is
still widely practiced when the tumor is localized at the extremity of the limb,
without signs of remote invasion.