Verrucous carcinoma of the foot - A series of 4 cases

Abstract

Most of patients having soft tissue lesion on heel/foot reffered to plastic surgeon because reconstructive options for heel/foot are difficult for general surgeons/orthopedicians. So as a plastic surgeon we should be aware of this rare but local tumor of foot , so that we can diagnose it early and manage properly. We present a case series of 4 patients of verrucous carcinoma of the foot. This is a rare, locally invasive, well differentiated, low-grade squamous cell carcinoma, with HPV as a possible causative agent. It follows a chronic course and mimics a variety of skin lesions, delaying diagnosis by up to 15 years. The definitive diagnosis is made histologically, and treatment by wide local excision is recommended. Our patients underwent wide local excision and reconstructed. Three patients had lesion on heel, were managed using reverse peroneal artery flap and fourth patient had lesion on forefoot, was managed using reverse medial planter artery flap. There were no postoperative complications. There was no functional impairment.