Squamous Cell Carcinoma With Chronic Osteomyelitis

Abstract

Therapeutic, Level IV: Case report.

Squamous Cell Carcinoma of the Heel Invading the Calcaneus Treated by Radical Excision and Reverse Sural Flap

“…This option was not applicable in our case due to the size and depth of the cSCC in our patient where it invaded an important part of the calcaneus. Another risk factor was highlighted by Wukich DK et al who reported a case of cSCC in a patient with longstanding chronic osteomyelitis [ 10 ]. Their patient has failed multiple reconstructive plastic and orthopedic procedures so he was treated by below-knee amputation.…”

Limb salvage of the foot with Lisfranc amputation following squamous cell carcinoma

“…1 Because squamous cell carcinoma of the lower extremity has a high likelihood for metastases (up to 30%), early diagnosis is critical. 2–7 The five-year recurrence rate of primary lesion is 8% with a good prognosis, while the five-year rate of metastasis is 5% 5,8 with a poorer prognosis, in particular with regional lymph node involvement, which occurs in 85% of cases. 2–5,8 Plain film radiography of any limb squamous cell carcinoma is crucial to assess for bone involvement.…”

“…2,3 Other aetiologies include ionising radiation, human papilloma virus infection, chemical agents, immunocompromised patients, genetic conditions, traumatised skin and non-healing skin also known as Marjolin’s ulcer. 2–6…”

“…2,3 Other aetiologies include ionising radiation, human papilloma virus infection, chemical agents, immunocompromised patients, genetic conditions, traumatised skin and non-healing skin also known as Marjolin's ulcer. [2][3][4][5][6] Squamous cell carcinoma is the most frequently encountered malignancy of the distal lower extremity, as opposed to basal cell carcinoma, melanoma or sarcomas. [2][3][4][5][6] The differential diagnosis for foot squamous cell carcinoma includes actinic keratosis, keratoacanthoma, squamous cell carcinoma in situ or Bowen's disease, basal cell carcinoma, eccrine poroma, verruca plantaris, reactive hyperplasia, pyogenic granulomas, psoriasis, repetitive trauma, bacterial or fungal infection, sweat gland carcinoma, amelanotic melanoma, sarcoma and Hodgkin's disease.…”

Ostéomyélite chronique compliquée d’un carcinome épidermoïde: à propos d’une observation

“…Ces signes doivent inciter à la réalisation des prélèvements biopsiques et à l’étude histopathologique [ 6 ]. Un bilan d’extension complet clinique et radiologique doit être pratiqué en préopératoire et se base idéalement sur la tomographie avec émission de positrons (PET Scan) [ 7 ], il est dans la majorité des cas négatif, comme c’est le cas de notre observation. Le stade d’extension de la tumeur représente le principal facteur pronostic [ 1 ] et oriente l’attitude thérapeutique.…”