young Plastic Reconstructive and Aesthetic Surgeon in University Hospital AVICENNE Of RABAT- KINGDOM OF MOROCCO.
Abstract
A 50-year-old patient with a history of burning in the lower right limb by flame 18 years ago for which he received local treatment. The patient developed a giant Marjolin’s ulcer and consults after total functional impotence of the limb. Clinical examination found ulcerated thickness from the outer side of the right thigh to the deep-seated ipsilateral calf, histological examination revealed a well-differentiated and infiltrating squamous cell carcinoma.
The magnetic resonance imaging showed a dermo-hypodermic thickening of the posterolateral side of the thigh and leg infiltrating the ilio-tibial tract and lateral gastocnemius muscle. After a multidisciplinary discussion, an indication of amputation was retained.