Melanoma arising in a chronic pressure ulcer

The malignant transformation of chronic wounds is rare and is seen most frequently in burn scars. Despite the infrequency of such a transformation, the management of chronic ulcers requires close follow up, including skin biopsies of all suspected lesions. Chronic ulceration may predispose patients to the development of malignancies such as basal cell carcinoma, squamous cell carcinoma, leiomyosarcoma, and melanoma.1,2 Here, we report a case of melanoma that arose in a chronic pressure ulcer. A 35-year-old man developed a complication following an injection at 6 months of age, which resulted in paraplegia, but he remained ambulatory with the aid of a wheelchair. A pressure ulcer developed in the sacral area 15 years after his injury. He had been treated conservatively, which resulted in variation in the size of the ulcer over the past 19 years. However, the ulcer had grown in the last year

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