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Plantar verrucous carcinoma masquerading as toe web intertrigo
Catherine McKay1, Penelope McBride, James Muir
1Clatterbridge Hospital, Clatterbridge Road, Bebington, Wirral, UK. mckaycat@gmail.com
The Australasian Journal of Dermatology
|May 11, 2012
Summary
A rare verrucous carcinoma, also known as epithelioma cuniculatum, was diagnosed in a 77-year-old man. This foot cancer presented as persistent interdigital toe web intertrigo.
Area of Science:
- Dermatology
- Oncology
- Podiatric Medicine
Background:
- Verrucous carcinoma (VC) is a rare, low-grade variant of squamous cell carcinoma.
- It typically presents as a slow-growing, exophytic, warty mass.
- VC commonly affects the feet, oral cavity, and larynx.
Observation:
- A 77-year-old male patient presented with a 6-month history of intractable intertrigo.
- The condition was localized to the third and fourth toe web spaces of his left foot.
- Persistent interdigital maceration and scaling were noted.
Findings:
- Biopsy and histological examination confirmed verrucous carcinoma.
- The tumor exhibited characteristic verrucous features.
- This specific presentation is also referred to as epithelioma cuniculatum.
Implications:
- Early recognition of verrucous carcinoma in intertriginous foot areas is crucial.
- Differential diagnosis of chronic toe web intertrigo should include verrucous carcinoma.
- Prompt diagnosis and management are essential for favorable outcomes in verrucous carcinoma of the foot.
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