Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer
A 63-year-old male patient had received several surgical reconstructions after a contact burn on the buttock when he was about 20 years old. Since October 2005, he continued to have an ulcerating lesion on the buttock and squamous cell carcinoma was discovered as a result. He was referred to the plastic surgery clinic of our hospital for reconstructive surgery. The authors conducted a wide excision of the tumor with 3 cm margins. A frozen section biopsy and a permanent biopsy were conducted at the margins and bases. It was confirmed that the surgical margins were free of tumor cells.\nAlthough the skin graft was performed in November 2005, the graft failed. Surgeries (including skin graft, local flap) were conducted three additional times, and recurrence persisted. Although the patient was referred for chemical anti-cancer treatment and radiation treatment, the patient expired (-).