Observation.- Pressure sore carcinomas are ra¬rely seen. They have a high recurrence rate with poor prognosis. Generally they require radical sur¬gical excision and elective lymph node dissection. A male patient suffering from paraplegia secon¬dary to a spinal cord injury, for 20 years is repor¬ted, The histopathological examination of the sac¬ral pressure sore which developed 15 years later revealed a well- differentiated squamous cell car¬cinoma. Here we present a review of the literature and the details of the surgical therapy instituted.