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Imaging of a Marjolin's Ulcer: A Case Report  

Cha, Jang-Gyu (Department of Radiology, Soonchunhyang University Hospital)
Yoo, Jae-Ho (Department of Orthopedics, Seoul SKY Hospital)
Kim, Hee-Kyung (Department of Pathology, Soonchunhyang University Hospital)
Paik, Sang-Hyun (Department of Radiology, Soonchunhyang University Hospital)
Hong, Hyun-Sook (Department of Radiology, Soonchunhyang University Hospital)
Lee, Hae-Kyung (Department of Radiology, Soonchunhyang University Hospital)
Publication Information
Journal of the Korean Society of Radiology / v.64, no.6, 2011 , pp. 593-598 More about this Journal
Abstract
A Marjolin's ulcer refers to malignancies that developed in chronic venous ulcers, scars, or sinuses. We report three-dimensional computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET)-CT findings in a patient who developed skin cancer from a chronic leg ulcer. Although rare, on MR, a Marjolin's ulcer should be considered when a well-enhanced soft-tissue mass with a broad based skin ulcer shows a mass effect and invasion of the adjacent bone. CT angiography and PET-CT complement MRI for evaluating the nature of Marjolin's ulcers and may provide essential anatomical information, enabling the physician to design the optimal surgical approach or determining cancer staging.
Keywords
Magnetic Resonance Imaging; Tomography, X-Ray Computed; Positron-Emission Tomography; Soft Tissue Neoplasms; Ulcer;
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1 Smith J, Mello LF, Nogueira Neto NC, Meohas W, Pinto LW, Campos VA, et al. Malignancy in chronic ulcers and scars of the leg (Marjolin's ulcer): a study of 21 patients. Skeletal Radiol 2001;30: 331-337   DOI   ScienceOn
2 Chiang KH, Chou AS, Hsu YH, Lee SK, Lee CC, Yen PS, et al. Marjolin's ulcer: MR appearance. AJR Am J Roentgenol 2006;186:819-820   DOI   ScienceOn
3 Rieger UM, Kalbermatten DF, Wettstein R, Heider I, Haug M, Pierer G. Marjolin's ulcer revisited--basal cell carcinoma arising from grenade fragments? Case report and review of the literature. J Plast Reconstr Aesthet Surg 2008;61:65-70   DOI   ScienceOn
4 Kolawole TM, Bohrer SP. Ulcer osteoma-bone response to tropical ulcer. Am J Roentgenol Radium Ther Nucl Med 1970;109:611-618   DOI
5 Karasick D, Schweitzer ME, Deely DM. Ulcer osteoma and periosteal reactions to chronic leg ulcers. AJR Am J Roentgenol 1997;168:155-157   DOI   ScienceOn
6 Pretorius ES, Fishman EK. Volume-rendered three-dimensional spiral CT: Musculoskeletal applications. Radiographics 1999;19:1143-1160
7 Shin DS, Shon OJ, Han DS, Choi JH, Chun KA, Cho IH. The clinical efficacy of (18)F-FDG PET/CT in benign and malignant musculoskeletal tumors. Ann Nucl Med 2008;22:603-609   DOI   ScienceOn
8 Feldman F, van Heertum R, Manos C. 18-FDG PET scanning of benign and malignant musculoskeletal lesions. Skeletal Radiol 2003;32:201-208   DOI   ScienceOn
9 Aoki J, Watanabe H, Shinozaki T, Takagishi K, Tokunaga M, Koyama Y, et al. FDG-PET for preoperative differential diagnosis between benign and malignant soft tissue masses. Skeletal Radiol 2003;32:133-138   DOI   ScienceOn
10 Fleming MD, Hunt JL, Purdue GF, Sandstad J. Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil 1990;11:460-469   DOI