Marjolin’s ulcers in the post-burned lesions and scars

Figure 3 A 63 years old male presented with two years history of slowly progressive ulceration in the post burned white skin on his upper back. He had childhood scald burns at the age of 3 years, and had received burn injury treatment with months of dressings without skin grafting. Multiple biopsies revealed squamous cell carcinoma, while computed tomography scan revealed axillary nodal invasion without chest metastasis. Culture sensitivity revealed Methicillin resistant staphylococcus and pseudomonas aeruginsa.