Hurricane-like Presentation of a Recurrent Marjolin's Ulcer in a Young Female

Marjolin's ulcer (MU) with rapid progression and multiple distant metastases is rare. We report a case of an MU of the thigh developing in a postburn scar, which after successful R0 resection developed multiple bony and visceral metastasis to femur, vertebra, skull, lung, and liver within 3 months of excision. We highlight the hurricane-like recurrence in an MU, which is unusual for the metachronous disease. We stress that MUs, unlike conventional wisdom, need a thorough metastatic workup at presentation, and prognostication of a possible rapidly progressive course after surgery which may lead to grave prognosis and mortality.

Automated summary

The article reports a rare case of Marjolin's ulcer (MU) with rapid progression and multiple distant metastases. The authors highlight the importance of thorough metastatic workup and prognostication for MU at presentation, as well as the possibility of a rapidly progressive course after surgery leading to poor prognosis and mortality.