Resumo

MENDEZ-OJEDA, MM; CORONA PEREZ-CARDONA, P; HERRERA-PEREZ, M  e  PAIS-BRITO, J. Epithelioma cuniculatum of the sole of the foot mimicking an infection. Acta ortop. mex [online]. 2021, vol.35, n.2, pp.211-214.  Epub 23-Maio-2022. ISSN 2306-4102.  https://doi.org/10.35366/101869.

Epithelioma cuniculatum is characterized as a slow growing lesion on the sole of the foot. A diagnosis is usually delayed by a low clinical suspicion and misdirection due to its similarity to an infection. This tumor rarely metastasize but a local invasion of adjacent soft tissues is common, requiring ample surgical resection or even amputation in advanced cases. We report a case a 76-year-old patient with a 5-year-old lesion on the sole of the foot, which was originally treated as a wart without improvement while the lesion slowly evolved. The patient was referred to our center with a diagnosis of chronic osteomyelitis. An excisional biopsy revealed an invasive keratinizing squamous carcinoma. In this advanced phase of the disease the only possible treatment was a Syme amputation.

Palavras-chave : Epithelioma cuniculatum; foot wart; foot infection; Syme amputation.