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Chapter 49,532

Marjolin's ulcer of the scalp invading calvarial bone, dura and brain

Gupta, S.K.; Sandhir, R.K.; Jaiswal, A.K.; Kumar, S.

Journal of Clinical Neuroscience Official Journal of the Neurosurgical Society of Australasia 12(6): 693-696

2005

ISSN/ISBN: 0967-5868
PMID: 16098754
DOI: 10.1016/j.jocn.2004.08.030
Accession: 049531960
A Marjolin's ulcer arising in a chronic scalp scar is reported. Malignant transformation occurred after four decades. The tumour had invaded the skull, dura mater and underlying brain tissue. This case illustrates the importance of appropriate and expeditious initial wound management of scar ulcers with high malignant potential to prevent this devastating outcome and also the role of reconstructive surgical techniques in radical surgery for scalp cancers.

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Related References

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Sengul, G.; Hadi-Kadioglu, H. 2009: Penetrating Marjolin's ulcer of scalp involving bone, dura mater and brain caused by blunt trauma to the burned area Neurocirugia 20(5): 474-477; Discussion 477
Maillard, G.F.; Landolt, A. 1984: Penetrating Marjolin's ulcer of scalp involving bone and dura mater treated by wide excision and direct application of a split-skin graft on the brain: a 10-year follow-up British Journal of Plastic Surgery 37(4): 463-467
Tenekeci, G.; Sari, A.; Hamzaoglu, V.; Ozalp, H. 2017: Reconstruction of a Marjolin Ulcer Defect of the Scalp Invading Brain and Causing Brain Abscess Formation Using Free Latissimus Dorsi Flap Journal of Craniofacial Surgery 28(5): E510-E512
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