<prompt> You are clearing the doubts of one of your patients with Marjolins ulcer. Though Marjolins ulcer is a squamous cell carcinoma it doesnt readily spread through the lymph nodes. Which is the TRUE attributed reason?The cells are of a lower malignant potentialIt is more rapidly diagnosed compared to a typical squamous cell CaThe scar tissue it occurs in has no lymphaticsNone of the above  <response>: Marjolins ulcer is a less malignant Ca since it grows very slowly due to the scar tissue and the spread is prevented due to the absence of lymphatics. This condition is also painless since scar contains no nerves. Surgery often cures the disease. Note: If Marjolins ulcer spreads beyond the scar tissue it behaves as a regular squamous carcinoma. Ref: Manipal Millennium Edition, Page 67 