CC BY 4.0 · Arch Plast Surg
DOI: 10.1055/a-2316-3824
Case Report

Consider Carcinoma cuniculatum in recurrent foot ulcer: A case report and literature review

Francisco Nunes de Abreu
1   Plastic Surgery, Hospital General Universitario de Alicante, Alicante, Spain (Ringgold ID: RIN16802)
,
Ruben Hidalgo Caro
1   Plastic Surgery, Hospital General Universitario de Alicante, Alicante, Spain (Ringgold ID: RIN16802)
,
Victor Cristobal Redondo
2   Department of Anatomopathology, Hospital General Universitario de Alicante, Alicante, Spain (Ringgold ID: RIN16802)
,
Elena Lorda Barraguer
1   Plastic Surgery, Hospital General Universitario de Alicante, Alicante, Spain (Ringgold ID: RIN16802)
,
Francisco Javier Céspedes Guirao
1   Plastic Surgery, Hospital General Universitario de Alicante, Alicante, Spain (Ringgold ID: RIN16802)
› Institutsangaben

Carcinoma Cuniculatum is a variant of Squamous Cell Carcinoma, characterized by a slow growth with progressive crypt-like invasion of deep tissue. This tumor is frequently misdiagnosed as a benign skin lesion both clinically and histopatologically. The final diagnosis is often delayed as it requires a large sample biopsy. We report the case of a 67 year old patient which presented to us with a recurring chronic ulcer over a surgical scar of five years of evolution. Only after a wide resection of the chronic ulcer was it possible to achieve the correct diagnosis of this large and poorly evolving carcinoma. The subsequent reconstruction with a musculocutaneous gracilis free flap allowed the patient to walk again.



Publikationsverlauf

Eingereicht: 03. August 2023

Angenommen nach Revision: 03. April 2024

Accepted Manuscript online:
29. April 2024

© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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