BACKGROUND. The term Marjolin ulcer is now synonymous with malignant t
ransformation of chronic ulcers, sinus tracts, and burn scars. OBJECTI
VE. To illustrate the importance of incisional or excisional biopsies
in cases of suspected burn scar carcinoma. METHODS. Case report and re
view of the literature. RESULTS. Multiple punch biopsies were negative
while a complete excision revealed the diagnosis of squamous cell car
cinoma. CONCLUSION. Because of the focal Mature of malignant change in
burn scars, incisional or excisional biopsy should be performed. (C)
1998 by the American Society for Dermatologic Surgery, Inc.