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Synchronous carcinoma and sarcoma in a burn scar: a treatment conundrum
  1. Shivakumar I Thejashwini1 and
  2. B Srinivas Pai2
  1. 1General Surgery, BGS Global Institute of Medical Sciences, Bangalore, KARNATAKA, India
  2. 2Department of Surgery, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
  1. Correspondence to Professor B Srinivas Pai; srinpai{at}


Marjolijn’s ulcer is a malignant ulcer in a burn scar. Types of malignancy are squamous cell carcinoma, basal cell carcinoma and malignant melanoma. Soft tissue sarcoma case reports indicate only one type of cancer. We present a patient in her 60s with a 10-year-old burn scar developing a biopsy-proven squamous cell carcinoma on the lateral aspect of the left thigh with metastatic superficial inguinal node. A wide excision and grafting of ulcer with ilioinguinal dissection done on left side. On the 12th postoperative day 2, subcutaneous swellings adjacent to the grafted area developed, on biopsy revealed to be pleomorphic sarcoma. PET CT scan revealed tumour deposits in the muscles of the left lower limb, liver and lung. There are no case reports of synchronous carcinoma and sarcoma in a burn scar. The case is reported for its rarity and the decision-making dilemma.

  • dermatology
  • oncology
  • cancer intervention
  • skin cancer
  • surgical oncology

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  • SIT and BSP contributed equally.

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: TSSI and SP. The following authors gave final approval of the manuscript: TSSI and SP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.