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Dr. Klein Discusses Marjolin Ulcer
In this video, Robert Klein, DPM, FACFAS, CWS, discusses why marjolin ulcers are difficult to manage.
Robert Klein, DPM, FACFAS, CWS, is a podiatrist who practices wound care and limb preservation full-time in Greenville, South Carolina. He's the physician chair for Wound Care, Prisma Health Upstate in South Carolina, and also serves as a clinical associate professor of surgery at the University of South Carolina, School of Medicine.
Transcript
I'm Rob Klein. I am a podiatrist who practices wound care and limb preservation full-time in Greenville, South Carolina. I'm the physician chair for Wound Care, Prisma Health Upstate in South Carolina. And I also serve as a clinical associate professor of surgery at the University of South Carolina, School of Medicine.
Marjolin ulcers are difficult ulcers. They can come from burns. They can come from chronic wounds. They can come from scars. I'm a podiatrist, as I said, so I treat mainly foot wounds. So for me, one of the biggest concerns is a chronic wound that can turn into a marjolin ulcer. The marjolin ulcers are problematic because they're more aggressive than your typical malignancies that we see. Typically in marjolin ulcers is squamous cell carcinoma, but marjolin ulcers are much more aggressive, upwards of 30%, more aggressive than your typical local squamous cell carcinoma, which is not as aggressive.
It can be metastatic, marjolin ulcers, and then they require different treatment. It's a malignancy so you're going to be talking about excision of that malignancy versus a chronic wound that doesn't have malignancy.
