Skip to main content

Main menu

  • HOME
  • ONLINE FIRST
  • CURRENT ISSUE
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • SUBSCRIBE
  • RESOURCES
    • About BJGP
    • Conference
    • Advertising
    • BJGP Life
    • eLetters
    • Librarian information
    • Alerts
    • Resilience
    • Video
    • Audio
    • COVID-19 Clinical Solutions
  • RCGP
    • BJGP for RCGP members
    • BJGP Open
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers
    • RCGP e-Portfolio

User menu

  • Subscriptions
  • Alerts
  • Log in

Search

  • Advanced search
British Journal of General Practice
  • RCGP
    • BJGP for RCGP members
    • BJGP Open
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers
    • RCGP e-Portfolio
  • Subscriptions
  • Alerts
  • Log in
  • Follow bjgp on Twitter
  • Visit bjgp on Facebook
  • Blog
  • Listen to BJGP podcast
Advertisement
British Journal of General Practice

Advanced Search

  • HOME
  • ONLINE FIRST
  • CURRENT ISSUE
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • SUBSCRIBE
  • RESOURCES
    • About BJGP
    • Conference
    • Advertising
    • BJGP Life
    • eLetters
    • Librarian information
    • Alerts
    • Resilience
    • Video
    • Audio
    • COVID-19 Clinical Solutions
Clinical Practice

A new wound in an old burn scar: a guide to Marjolin’s ulcers for primary care

Maria Houlihan, Krupali Patel, Yvonne T Wilson, Vijay Rajput and Elizabeth Chipp
British Journal of General Practice 2021; 71 (703): 92-93. DOI: https://doi.org/10.3399/bjgp21X714893
Maria Houlihan
Queen Elizabeth University Hospital Birmingham, Department of Burns and Plastic Surgery, Birmingham.
Roles: Plastic surgery registrar
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Krupali Patel
Queen Elizabeth University Hospital Birmingham, Department of Burns and Plastic Surgery, Birmingham.
Roles: Burns research fellow
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yvonne T Wilson
Queen Elizabeth University Hospital Birmingham, Department of Burns and Plastic Surgery, Birmingham.
Roles: Burns and plastics consultant
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Vijay Rajput
Springfield Medical Practice, Springfield, Birmingham.
Roles: Senior GP partner
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizabeth Chipp
Queen Elizabeth University Hospital Birmingham, Department of Burns and Plastic Surgery, Birmingham.
Roles: Burns and plastics consultant
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info
  • eLetters
  • PDF
Loading

INTRODUCTION

Marjolin’s ulcers are a cutaneous squamous cell carcinoma (SCC) found in tissue that has been previously traumatised and subsequently healed, such as chronic wounds, including diabetic or vascular leg ulcers, or an old burn scar. There is a long latent period (which can be over 30 years) from original insult to malignant transformation, and risk of malignancy varies depending on type of wound but is estimated to occur in 0.5% of vascular ulcers and 1%–2% of burn scars.1,2 This article discusses a case referred from general practice to the authors’ UK burns centre with a new non-healing wound in a previously completely healed scar, more than 40 years after initial burn.

PRESENTATION

A 56-year-old female presented with a 65 × 30 mm lesion in the right axilla in the scar of a flame injury that had occurred 48 years earlier. The wound had appeared spontaneously 2 years previously and enlarged and progressed over 6 months to a non-healing ulcer, causing itching, pain, and intermittent bleeding. There was …

View Full Text

  RCGP login

Members, please Login at RCGP to access the journal online.

  Subscriber login

Enter your BJGP login information below.

Log in using your username and password

Enter your British Journal of General Practice username.
Enter the password that accompanies your username.
Forgot your user name or password?

Log in through your institution

You may be able to gain access using your login credentials for your institution. Contact your library if you do not have a username and password.
If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 1 day for US$35.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

  Subscribe

Subscribe to the Journal - Subscribe to the print and/or online journal.

Back to top
Previous Article

In this issue

British Journal of General Practice: 71 (703)
British Journal of General Practice
Vol. 71, Issue 703
February 2021
  • Table of Contents
  • Index by author
Download PDF
Download PowerPoint
Article Alerts
Or,
sign in or create an account with your email address
Email Article

Thank you for recommending British Journal of General Practice.

NOTE: We only request your email address so that the person to whom you are recommending the page knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A new wound in an old burn scar: a guide to Marjolin’s ulcers for primary care
(Your Name) has forwarded a page to you from British Journal of General Practice
(Your Name) thought you would like to see this page from British Journal of General Practice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
A new wound in an old burn scar: a guide to Marjolin’s ulcers for primary care
Maria Houlihan, Krupali Patel, Yvonne T Wilson, Vijay Rajput, Elizabeth Chipp
British Journal of General Practice 2021; 71 (703): 92-93. DOI: 10.3399/bjgp21X714893

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
A new wound in an old burn scar: a guide to Marjolin’s ulcers for primary care
Maria Houlihan, Krupali Patel, Yvonne T Wilson, Vijay Rajput, Elizabeth Chipp
British Journal of General Practice 2021; 71 (703): 92-93. DOI: 10.3399/bjgp21X714893
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Mendeley logo Mendeley

Jump to section

  • Top
  • Article
    • INTRODUCTION
    • PRESENTATION
    • IDENTIFICATION IN PRIMARY CARE
    • CONCLUSION
    • Notes
    • REFERENCES
  • Figures & Data
  • Info
  • eLetters
  • PDF

More in this TOC Section

  • Anosmia: an evidence-based approach to diagnosis and management in primary care
  • Symptom management of patients with multiple sclerosis in primary care: focus on overlooked symptoms
  • Spontaneous cerebrospinal rhinorrhoea: a guide for primary care
Show more Clinical Practice

Related Articles

Cited By...

Advertisement

BJGP Life

BJGP Open

 

@BJGPjournal's Likes on Twitter

 
 

British Journal of General Practice

NAVIGATE

  • Home
  • Current Issue
  • All Issues
  • Online First
  • Authors & reviewers

RCGP

  • BJGP for RCGP members
  • BJGP Open
  • RCGP eLearning
  • InnovAiT Journal
  • Jobs and careers
  • RCGP e-Portfolio

MY ACCOUNT

  • RCGP members' login
  • Subscriber login
  • Activate subscription
  • Terms and conditions

NEWS AND UPDATES

  • About BJGP
  • Alerts
  • RSS feeds
  • Facebook
  • Twitter

AUTHORS & REVIEWERS

  • Submit an article
  • Writing for BJGP: research
  • Writing for BJGP: other sections
  • BJGP editorial process & policies
  • BJGP ethical guidelines
  • Peer review for BJGP

CUSTOMER SERVICES

  • Advertising
  • Contact subscription agent
  • Copyright
  • Librarian information

CONTRIBUTE

  • BJGP Life
  • eLetters
  • Feedback

CONTACT US

BJGP Journal Office
RCGP
30 Euston Square
London NW1 2FB
Tel: +44 (0)20 3188 7679
Email: journal@rcgp.org.uk

British Journal of General Practice is an editorially-independent publication of the Royal College of General Practitioners
© 2021 British Journal of General Practice

Print ISSN: 0960-1643
Online ISSN: 1478-5242