1. Epithelioma cuniculatum of the sole of the foot mimicking an infection.
- Author
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Méndez-Ojeda MM, Corona Pérez-Cardona P, Herrera-Pérez M, and Pais-Brito J
- Subjects
- Aged, Amputation, Surgical, Child, Preschool, Foot, Humans, Bone Neoplasms, Carcinoma, Verrucous, Foot Diseases diagnosis, Foot Diseases surgery
- Abstract
Epithelioma cuniculatum is characterized as a slow growing lesion on the sole of the foot. A diagnosis is usually delayed by a low clinical suspicion and misdirection due to its similarity to an infection. This tumor rarely metastasize but a local invasion of adjacent soft tissues is common, requiring ample surgical resection or even amputation in advanced cases. We report a case a 76-year-old patient with a 5-year-old lesion on the sole of the foot, which was originally treated as a wart without improvement while the lesion slowly evolved. The patient was referred to our center with a diagnosis of chronic osteomyelitis. An excisional biopsy revealed an invasive keratinizing squamous carcinoma. In this advanced phase of the disease the only possible treatment was a Syme amputation.
- Published
- 2021