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

Figure 4 A lady aged 41, had sustained burn injury secondary to lightning 3 years ago. She had her burn injuries managed with months of dressing without skin grafting. Subsequently she had recurrent ulceration with bleeding from the unhealed wounds around the knee. Multiple biopsies of the lesions revealed well differentiated squamous cell carcinoma. The groin nodal basin was negative clinically as well as radiologically.