Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report
Verrucous carcinoma of the foot often affects deep structures such as tendons, muscles, or bones. A 74-year-old man presented with a foot lesion that had been diagnosed as a skin infection 7 years earlier. He was treated with multiple excisions and superficial biopsies associated with antibiotic the...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/135307 |
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| author | C. Pempinello A. Bova R. Pempinello R. Luise G. Iannaci |
| author_facet | C. Pempinello A. Bova R. Pempinello R. Luise G. Iannaci |
| author_sort | C. Pempinello |
| collection | DOAJ |
| description | Verrucous carcinoma of the foot often affects deep structures such as tendons, muscles, or bones. A 74-year-old man presented with a foot lesion that had been diagnosed as a skin infection 7 years earlier. He was treated with multiple excisions and superficial biopsies associated with antibiotic therapy without success. In our department he underwent an aggressive and accurate debridement with marginal excision harvesting multiple biopsies. Pathological evaluation of tissue at the time of operation confirmed the diagnosis of verrucous carcinoma of the foot. Therefore, the patient underwent an amputation below knee, and there were no postoperative complications; the patient was able to walk with the aid of a prosthesis with no signs of recurrence. The lesion follows a chronic course evolving from a discrete focal lesion to a large fungating deeply penetrating mass often compromised by local infection. The slow growth and confusing early-stage appearances can lead to delays in diagnosis of 8 to 15 years causing the extracutaneous involvement that requires a leg amputation. Many patients are initially treated with many topical medications without success, and most tumors have been treated as recalcitrant warts or corns for some time, whereas the basic approach is surgical. |
| format | Article |
| id | doaj-art-b3f4e90abdfb433ab09287da469d9262 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-b3f4e90abdfb433ab09287da469d92622025-02-03T06:45:57ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/135307135307Verrucous Carcinoma of the Foot with Bone Invasion: A Case ReportC. Pempinello0A. Bova1R. Pempinello2R. Luise3G. Iannaci4Department of Orthopaedic and Traumatology, S. Gennaro Hospital, Via San Gennaro dei Poveri, 25-80125 Napoli, ItalyDepartment of Orthopaedic and Traumatology, S. Gennaro Hospital, Via San Gennaro dei Poveri, 25-80125 Napoli, ItalyDepartment of Infectious Diseases, Cotugno Hospital, Via G. Quagliariello, 54-80131 Napoli, ItalyDepartment of Pathology, Incurabili Hospital, Via Maria Longo, 50-80138 Napoli, ItalyDepartment of Pathology, Incurabili Hospital, Via Maria Longo, 50-80138 Napoli, ItalyVerrucous carcinoma of the foot often affects deep structures such as tendons, muscles, or bones. A 74-year-old man presented with a foot lesion that had been diagnosed as a skin infection 7 years earlier. He was treated with multiple excisions and superficial biopsies associated with antibiotic therapy without success. In our department he underwent an aggressive and accurate debridement with marginal excision harvesting multiple biopsies. Pathological evaluation of tissue at the time of operation confirmed the diagnosis of verrucous carcinoma of the foot. Therefore, the patient underwent an amputation below knee, and there were no postoperative complications; the patient was able to walk with the aid of a prosthesis with no signs of recurrence. The lesion follows a chronic course evolving from a discrete focal lesion to a large fungating deeply penetrating mass often compromised by local infection. The slow growth and confusing early-stage appearances can lead to delays in diagnosis of 8 to 15 years causing the extracutaneous involvement that requires a leg amputation. Many patients are initially treated with many topical medications without success, and most tumors have been treated as recalcitrant warts or corns for some time, whereas the basic approach is surgical.http://dx.doi.org/10.1155/2013/135307 |
| spellingShingle | C. Pempinello A. Bova R. Pempinello R. Luise G. Iannaci Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report Case Reports in Oncological Medicine |
| title | Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report |
| title_full | Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report |
| title_fullStr | Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report |
| title_full_unstemmed | Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report |
| title_short | Verrucous Carcinoma of the Foot with Bone Invasion: A Case Report |
| title_sort | verrucous carcinoma of the foot with bone invasion a case report |
| url | http://dx.doi.org/10.1155/2013/135307 |
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