Epithelioma cuniculatum of the sole of the foot mimicking an infection

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.

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Bibliographic Details
Main Authors: Méndez-Ojeda,MM, Corona Pérez-Cardona,P, Herrera-Pérez,M, Pais-Brito,J
Format: Digital revista
Language:English
Published: Colegio Mexicano de Ortopedia y Traumatología A.C. 2021
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022021000200211
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