Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer
A 55-year-old woman suffered a flame burn injury 53 years prior to admission. She continued to have chronic ulceration, which was treated at the hospital by dressing. She presented to the plastic surgery clinic at our hospital in April 2006 with an enlarging ulceration. A biopsy was conducted and squamous cell carcinoma was identified. A wide excision and free anterolateral thigh flap were conducted for reconstruction of the heel defect in May 2006. A frozen section biopsy and permanent biopsy were conducted at the margins and bases. It was confirmed that the surgical margins were free of tumor cells.\nDuring her follow-up, wound dehiscence occurred on the heel and recurrent squamous cell carcinoma was presented. A below knee amputation was conducted with chemical anti-cancer treatment and radiation treatment for therapeutic possibilities, but the patient expired (, ).