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Dr. Ebraheim’s educational animated video describes Marjolin’s Ulcer. Marjolin’s ulcer is a malignant tumor that usually develops into squamous cell sarcoma inside of an osteomyelitis sinus tract. Fugating soft tissue mass that increases in size and has a foul smell in addition to x-rays that show chronic osteomyelitis that may indicate malignant transformation. It usually takes a long time to develop (about 20-30 years). The tumor usually occurs in the lower extremity and can occur in association with burns, decubitus ulcer and venous ulcer. The skin lesion appears more aggressive with more metastasis (it also can spread to the lymph nodes). There is more recurrence than other types of skin cancers. High mortality rates. Treatment is usually amputation. Preservation of the extremity function through wide resection may not be possible. The difference between Marjolin’s ulcer and Mandura foot. Marjolin’s ulcer is malignant slow growing squamous cell carcinoma tumor that usually develops inside of osteomyelitis tract. Mandura foot is localized swelling with multiple discharging sinuses (usually fungus). Grain filled/ granular discharge. Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundati... Background music provided as a free download from YouTube Audio Library. Song Title: Every Step