Carcinoma in plantar ulcers of leprosy patients

Three cases presenting clinically with carcinomata developing from long standing plantar ulcers are presented. Intra operational histopathological examination confirmed two cases of squamous cell carcinoma and one case of malignant melanoma. Two of the patients had developed distant metastases in the brain, chest and regional lymph nodes at presentation. All had below knee amputation. The regional lymph nodes were not interfered with in any of them. One finally died, one was discharged home fully fit while the third's clinical condition has been deteriorating.