Extensive Marjolin’s Ulcer of Scalp in a Patient with Cardiac Dysfunction - A Reconstructive Challenge

1. Abstract

Marjolin’s ulcer originate in long standing non healing ulcers of various origin. It used to be the ulcerative variety of squamous cell carcinoma, encountered on rare occasions. These lesions are usually treated by wide local excision followed by reconstruction preferably using vascularised tissue of similar nature. We came across a young male patient with a large Marjolin’s ulcer over temporo- parieto-occipital scalp extending intracranially with multiple cardiac valve dysfunction.