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Updated: Jun 22, 2026
15:04
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Basal cell carcinoma masquerading as a hallux valgus
Geoffrey G Hallock1, Imelda S Bulatao
1Division of Plastic Surgery, St Luke's Hospital, Bethlehem, Pennsylvania, USA.
Summary
A chronic foot ulcer linked to hallux valgus was finally diagnosed as basal cell carcinoma after a decade. Surgical removal of the skin cancer led to complete healing, highlighting the importance of considering malignancy in persistent ulcers.
Area of Science:
- Dermatology
- Oncology
- Podiatry
Background:
- Hallux valgus (bunion) complications are common, while primary foot skin cancers are rare.
- Chronic nonhealing ulcers pose a diagnostic challenge, often managed conservatively without resolution.
Observation:
- A persistent ulcer overlying a hallux valgus was treated for 10 years with conservative measures including ointments, orthotics, and skin grafts.
- Despite extensive treatment, the ulcer failed to heal, prompting further investigation.
Findings:
- A shave biopsy of the ulcer revealed basal cell carcinoma, a type of skin cancer.
- Wide local excision and a subsequent skin graft successfully eradicated the tumor and achieved healing.
Implications:
- This case represents the first reported instance of basal cell carcinoma associated with hallux valgus.
- It underscores the critical need to consider malignant degeneration in the differential diagnosis of chronic, nonhealing foot ulcers.
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