<abstract xmlns="http://www.w3.org/1999/xhtml"> Background: Marjolin’s ulcer is a rare malignancy often associated with burn scars, traumatic wounds and chronic infections. Cambodia is still contaminated with landmines and unexploded ordinance, and a significant number of people suffer from related injuries, as well as latent development of Marjolin’s ulcers.Objectives: Report on the incidence of suspected and histopathologically confirmed cases of Marjolin’s ulcers at the Children’s Surgical Centre (CSC), Phnom Penh, Cambodia. Comment on 2 similar cases of landmine injuries to the lower limb resulting in Marjolin’s ulcers.Methods: Independent retrospective analysis of electronic and hardcopy patient records (January 2003 to January 2012) was performed by two examiners. Patients were selected based on primary and secondary inclusion criteria.Results: Forty-eight patients were selected from the initial analysis and of those selected, 8 patients met secondary inclusion criteria. From these 8 cases, the preceding pathology included burns (62.5%), landmine blast injuries (25%) and chronic infection (12.5%).Conclusion: The high prevalence of landmine blast victims in Cambodia suggests that there is likely to be a correspondingly high incidence of Marjolin’s ulcers in the population. Improved surveillance for malignancy and prompt intervention in these patients may improve outcomes.</abstract>

Background: Marjolin’s ulcer is a rare malignancy often associated with burn scars, traumatic wounds and chronic infections. Cambodia is still contaminated with landmines and unexploded ordinance, and a significant number of people suffer from related injuries, as well as latent development of Marjolin’s ulcers.Objectives: Report on the incidence of suspected and histopathologically confirmed cases of Marjolin’s ulcers at the Children’s Surgical Centre (CSC), Phnom Penh, Cambodia. Comment on 2 similar cases of landmine injuries to the lower limb resulting in Marjolin’s ulcers.Methods: Independent retrospective analysis of electronic and hardcopy patient records (January 2003 to January 2012) was performed by two examiners. Patients were selected based on primary and secondary inclusion criteria.Results: Forty-eight patients were selected from the initial analysis and of those selected, 8 patients met secondary inclusion criteria. From these 8 cases, the preceding pathology included burns (62.5%), landmine blast injuries (25%) and chronic infection (12.5%).Conclusion: The high prevalence of landmine blast victims in Cambodia suggests that there is likely to be a correspondingly high incidence of Marjolin’s ulcers in the population. Improved surveillance for malignancy and prompt intervention in these patients may improve outcomes.

Marjolin’s ulcers: the lasting effect of landmines in Cambodia

Children’s Surgical Centre, Kien Khleang National Rehabilitation Center, Phnom Penh,

Children’s Surgical Centre, Kien Khleang National Rehabilitation Center, Khan Ruseykeo, Sangkat Chroy Changvar, Phnom Penh,

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Marjolin\u2019s ulcers: the lasting effect of landmines in Cambodia"}

Background: Marjolin’s ulcer is a rare malignancy often associated with burn scars, traumatic wounds and chronic infections. Cambodia is still contaminated...

Marjolin’s ulcers: the lasting effect of landmines in Cambodia

Article Category: Clinical report

Publicado en línea: 04 feb 2017

Páginas: 775 - 780

DOI: https://doi.org/10.5372/1905-7415.0605.122

Palabras clave
Cambodia, landmine, Marjolin’s ulcer, squamous cell carcinoma

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Marjolin’s ulcers: the lasting effect of landmines in Cambodia

Article Category: Clinical report

Publicado en línea: 04 feb 2017

Páginas: 775 - 780

DOI: https://doi.org/10.5372/1905-7415.0605.122

Palabras claveCambodia, landmine, Marjolin’s ulcer, squamous cell carcinoma

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Palabras clave
Cambodia, landmine, Marjolin’s ulcer, squamous cell carcinoma