It is a cutaneous malignancy that arises in the setting of previously injured skin, longstanding scars, and chronic wounds. Mostly squamous cell cancer in origin, but may also arise from BCC. usually presents as a non-healing sore. It may steadily increase in size, have excessive granulation tissue, foul-smelling pus, bleed easily on contact, and be painful. Once discovered, no definitive treatment protocol exists for the management of Marjolin ulcers. The most widely accepted treatment options include Mohs surgery, wide local excision with 1 to 2 cm margins, and amputation proximal to the lesion.
That poor woman. Decent healthcare needs to be treated as an inalienable human right.