INTRODUCTION: Marjolin's ulcer is a rare complication of chronic scars that is most often associated with burn wounds. There was predominance developing in the lower extremities. OBJECTIVE: To describe results in a serie of cases with Marjolin's ulcer in lower extremity admitted in the Hospital Sarah Brasilia, between 2001-2008. CASE REPORTS: We performed wide tumoral excision and reconstruction with grafts, sural reverse flap, amputation and rehabilitation program. Amputation was considered in cases where surgical excision is not possible. Differentiated squamous cell carcinoma was diagnosis by frozen section biopsy and histopathological analyze. There were no reports of disease recurrence after five years. CONCLUSION: The authors recommend the follow up and that unstable scars were evaluated with biopsy at regular intervals. If cancer is found wide excision is indicated and attention for functional adaptations with orthesis or prosthesis.
Ulcer; Skin ulcer; Burns
