A case of verrucous carcinoma of the right foot in a severe diabetes patient

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  • WATANABE Soichiro
    Department of Dermatology, Fujita Health University School of Medicine
  • IWATA Yohei
    Department of Dermatology, Fujita Health University School of Medicine
  • ARIMA Masaru
    Department of Dermatology, Fujita Health University School of Medicine
  • NUMATA Shigeki
    Department of Dermatology, Fujita Health University School of Medicine
  • IWATA Takako
    Department of Dermatology, Fujita Health University School of Medicine
  • SUZUKI Kayoko
    Department of Dermatology, Kariya Toyota General Hospital
  • KURODA Makoto
    Department of Diagnostic Pathology, Fujita Health University School of Medicine
  • MATSUNAGA Kayoko
    Department of Dermatology, Fujita Health University School of Medicine Department of Integrative Medical Science for Allergic Disease, Fujita Health University School of Medicine
  • SUGIURA Kazumitsu
    Department of Dermatology, Fujita Health University School of Medicine

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Other Title
  • 重度な糖尿病患者の右足底に生じたverrucous carcinomaの1例

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Abstract

<p>A 58-year-old male with type 2 diabetes for over 10 years noted small blisters on the sole of his right foot 2 years ago. One month ago, he visited the dermatology department of a general hospital. Verrucous carcinoma was suspected based on clinical findings, and he was referred to our hospital. Magnetic resonance imaging revealed a 4-cm-sized tumor in the adipose tissue, which infiltrated up to the adjacent muscular layer. Blood tests showed a markedly elevated HbA1c level of 10.8%. A supra-aponeurotic tumor resection with a horizontal margin of 1 cm was performed. The defect after resection was covered with artificial dermis. Since strict treatment of diabetes and topical therapy was performed, and granulation tissue was gradually observed, Thiersch skin grafting was performed. There has been no apparent recurrence or distal metastasis during the 15 months after surgery. [Skin Cancer (Japan) 2017 ; 32 : 71-75]</p>

Journal

  • Skin Cancer

    Skin Cancer 32 (1), 71-75, 2017

    The Japanese Skin Cancer Society

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