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Updated: Jun 19, 2026

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Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
Squamous cell carcinoma in bilateral untreated syndactyly
Wee Leon Lam1, Joseph Hardwicke, Gerard Laitung
1Department of Plastic and Reconstructive Surgery, Lancashire Teaching Hospitals NHS Trust, Royal Preston Hospital, Preston, UK.
Summary
Untreated syndactyly can lead to chronic skin issues and squamous cell carcinoma due to friction. Surgical correction may prevent long-term complications associated with this congenital condition.
Area of Science:
- Plastic Surgery
- Dermatology
- Congenital Malformations
Background:
- Syndactyly is a congenital condition involving the fusion of digits.
- Untreated syndactyly can lead to functional and cosmetic concerns, though not always.
- Chronic friction in fused digits can cause skin changes.
Observation:
- An 81-year-old male patient presented with untreated bilateral syndactyly.
- The patient's primary concerns were not related to hand function or appearance.
- Long-term manual labor resulted in chronic skin changes from friction on the fused digits.
Findings:
- The chronic friction associated with untreated syndactyly led to the development of squamous cell carcinoma.
- This case highlights a rare long-term complication of untreated syndactyly.
Implications:
- Early surgical intervention for syndactyly may prevent chronic skin changes and secondary malignancies.
- This case underscores the importance of considering long-term risks in congenital conditions.
- Further research into the oncogenic potential of chronic friction in syndactyly is warranted.
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