Penetrating Marjolin's ulcer of scalp involving bone and dura mater treated by wide excision and direct application of a split-skin graft on the brain: a 10-year follow-up.

A case is presented of a patient with a massive Marjolin's ulcer arising in chronic scarring of the forehead following an avulsion injury of the scalp at the age of 20. The tumour had invaded the skull and the dura mater. The lesion was radically excised leaving the brain itself widely exposed at the base of the wound. The defect was covered with a thick sheet of split-skin taken with a Padgett dermatome. At follow-up 10 years later the patient is alive and well with no symptoms and no recurrence of the tumour.