CT appearances of Marjolin's ulcer in the left gluteal region of a young man

Abstract

Chronic wounds and scar tissues are prone to skin cancer. In 1828, Jean-Nicholas Marjolin described the occurrence of tumours in post-traumatic scar tissue. He did not, however, identify the warty ulcers he described as malignant. It was Dupuytren, who about two years later, noted that these lesions were cancerous. The eponym was bestowed by Da Costa in 1903. Marjolin’s ulcer no longer refers only to carcinomas secondary to burns and is classified as a malignancy that arises from previously traumatised, chronically inflamed, or scarred skin. It has been reported in relation to osteomyelitis, venous stasis ulcer, tropical ulcers, chronic decubitus ulcer, frostbite, pilonidal sinus, vaccination site, urinary fistula, hidradenitis suppurativa, skin graft donor site, gunshot wounds, puncture wounds, dog bites, and lupus rash. Early arising Marjolin’s ulcer has rarely been described in literature. In this case report, we present the CT appearances of Marjolin’s ulcer in the left gluteal region of a young man.

Inguinal Squamous Cell Carcinoma Presenting as a Marjolin Ulcer in the Absence of Mesh Infection: A Case Report

“…Imaging with CT is useful in identifying fluid collections or edema with fat stranding around the mesh, indicating an underlying mesh infection [ 12 ]. The features of a Marjolin ulcer on CT include bone destruction, soft tissue mass, and periosteal reaction [ 14 ]. Soft tissue masses appear as irregular and nodular enhancing, which was visualized on CT in this patient [ 14 ].…”

“…The features of a Marjolin ulcer on CT include bone destruction, soft tissue mass, and periosteal reaction [ 14 ]. Soft tissue masses appear as irregular and nodular enhancing, which was visualized on CT in this patient [ 14 ]. SCC in the setting of mesh infection is typically treated with radical surgical excision of the infected mesh and tissue with the use of chemotherapy in the case of metastasis [ 8 ].…”

Radiological appearances of metastatic Marjolin ulcer in a chronic pressure sore: a case report and literature review

“…Kolawale et al [13] described the periosteal reaction in tropical ulcers as the classic "ivory ulcer osteoma". A solid organized new periosteal bone in chronic leg ulcer is viewed as a benign bone response “ulcer osteoma”, whereas lamellated periosteal reaction is suspicious of more serious complications like osteomyelitis [14] , [15] , [16] .…”

Marjolin's ulcer: A case report and literature review

“…Ultrasonography can be used as a primary modality to identify lymph node metastasis. Radiography and CT can distinguish common imaging features of MU, including bone destruction, soft tissue mass, and a periosteal reaction (31). An MRI provides excellent soft-tissue detail, such as tumor extent, depth, margins, underlying bone cortical or marrow involvement, or the involvement of adjacent neurovascular structures (32).…”