Marjolin's ulcer: a twelve-case report * Úlcera de Marjolin: relato de 12 casos *

6 Abstract: The authors report twelve cases of Marjolin's ulcer that have been diagnosed between 1990 and 2003 at HUCFF-UFRJ. Five females and seven males, aged 38 to 86 years old, formed the group. Evolution time from scar to squamous cell carcinoma onset ranged from 10 to 50 years. Amputation was performed in eight cases and in one of them radiation therapy was associated. Two patients underwent local excision. One patient who already had spinal metastasis was submitted to palliative local excision. Finally, one case had no thera- peutic possibilities. Early biopsy was concluded to be essential in chronic ulcers, to establish the difference between squamous cell carcinoma and pseudoepitheliomatous hyperplasia. Keywords: Carcinoma, squamous cell; Cicatrix; Ulcer Resumo: Relato de 12 casos de ulcera de Marjolin observados de 1990 a 2003 no HUCFF- UFRJ. Cinco pacientes do sexo feminino e sete do masculino, com idade variando de 38 a 86 anos. Tempo de evolucao de 10 a 50 anos, da cicatriz ate surgimento do carcinoma espinocelular. Resseccao da lesao em dois casos e amputacao terapeutica em oito. Em um caso realizada exerese paliativa da lesao por apresentar metastase para coluna sacrococ- cigea. Um caso de impossibilidade terapeutica. Concluiu-se que a biopsia e essencial em ulceras cronicas, para diferenciar carcinoma espinocelular de hiperplasia pseudoepite- liomatosa. Palavras-chave: Carcinoma de celulas escamosas; Cicatriz; Ulcera