A STUDY OF DEMOGRAPHIC PROFILE OF THE MARJOLIN'S ULCER AND ITS IMPLICATIONS IN REDUCING INCIDENCE OF THE DISEASE AT A TERTIARY HEALTH CARE CENTRE IN INDIA

Dr. Dakshesh R. Shah; Dr. Krishnanand Dhruw; Dr. Vishwamitra. B. Dayal; Dr. Jesal Rathod; Dr Manoj Goel

Volume : VIII, Issue : VII, July - 2019

A STUDY OF DEMOGRAPHIC PROFILE OF THE MARJOLIN'S ULCER AND ITS IMPLICATIONS IN REDUCING INCIDENCE OF THE DISEASE AT A TERTIARY HEALTH CARE CENTRE IN INDIA

Dr. Dakshesh R. Shah, Dr. Krishnanand Dhruw, Dr. Vishwamitra. B. Dayal, Dr. Jesal Rathod, Dr Manoj Goel

Abstract :

Introduction: Marjolin�s ulcer is a rare malignancy that arises in chronic wounds especially burn scars and ulcers. In our study we found most of the patients affected belong to low socioeconomic groups & were illiterate. The large population residing in remote areas of the state like Sarguja, Korea etc are devoid of tertiary health care facility and education .The purpose of this study is to determine the demographic profile of these patients, to observe clinical and pathologic course of the disease in our state, the management provided to these patients and to determine implications to reduce the incidence of the disease. Material & methods: This retrospective study was carried out in department of plastic and reconstructive surgery of Pt. JNM Medical college Raipur between October 2005–october 2008.Total 50 patients of non–healing ulcer suspected for Marjolin�s ulcer were picked up randomly for study from outpatient department. The demographic profile, detailed clinical examination, measurements, routine investigations & histopathological examination was carried out. Results: In our study out of 50 patients, 28 patients (56%) were benign ulcers & 22 patients (44%) were Marjolin�s ulcer proved by histopathological examination. Out of 22 patients of Marjolin�s ulcer, 19 patients underwent wide local excision followed by split skin graft coverage or cover by Flaps. 3 patients undergone amputation (2 legs and 1 hand) where bone was found invaded by tumour. Conclusion: It is important and special need for early detection of pre–morbid conditions of the Marjolin�s ulcer like hypertrophied scar, repeated ulcerations & contractures. It can be done by launching welfare programs, creating awareness and by educating people of remote areas regarding the disease. It is also imperative to launch effective training programs for local doctors and paramedical staff for early wound care managements and timely referrals of the patients to a nearby tertiary health care centre.