J Korean Burn Soc.  2009 Dec;12(2):148-152.

Rehabilitation of Amputee with Recurrent Squamous Cell Carcinoma Arising from Postburn Scar: A Case Report

• Lee J
• Jang K
• Choi J
• Mun J
• Jang Y
• Seo D
• Kim J
• Chun W
• Hur J
• Kim D
• Cho Y
• Yim H
• Seo CH

Abstract

A 73-year-old woman who has been suffering from ulcer pain on left lower leg of burn scars visited our clinic for prosthesis rehabilitation. Symptom has been developed since 12 months ago. She burned herself with oil at the age of 40. Biopsy on the skin lesion revealed squamous cell carcinoma. Marjolin's ulcer is a rare but highly aggressive squamous cell cancer that is most often associated with chronic burn wounds. Patient had undergone multiple prior split-thickness skin grafts for recurrent squamous cell carcinoma. She had undergone a trans-tibial amputation and subsequently given adjuvant chemotherapy for recurrent disease. After amputee training the patient was able to walk by herself and could perform all activities of daily living independently. Cancer induced amputees need prostheses with intensive rehabilitation training program for ambulation to prevent deterioration of physical function and mental health due to immobilization. However, she developed another recurrence and decided not to undergo further surgery and eventually died in hospice care due to progressive metastatic disease.

Keyword

Squamous cell carcinoma; Ulcer; Amputee; Prosthesis

MeSH Terms

Activities of Daily Living
Aged
Amputation
Amputees
Biopsy
Burns
Carcinoma, Squamous Cell
Chemotherapy, Adjuvant
Cicatrix
Female
Hospice Care
Humans
Immobilization
Leg
Mental Health
Neoplasms, Squamous Cell
Prostheses and Implants
Recurrence
Skin
Stress, Psychological
Transplants
Ulcer
Walking