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Arch Hand Microsurg > Volume 23(1); 2018 > Article
Archives of Hand and Microsurgery 2018;23(1):54-58.
Published online March 1, 2018.
Reconstruction of Heel Defect Occured by Verrucous Carcinoma
Seung Ki Ahn1, Hwan Jun Choi1, Si Hyong Jang2
1Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan, Korea.
2Department of Pathology, College of Medicine, Soonchunhyang University, Cheonan, Korea.
Received: 24 July 2017   • Revised: 23 January 2018   • Accepted: 24 January 2018
Verrucous carcinoma is a low-grade, well differentiated uncommon variant of squamous cell carcinoma and may grow large and can destroy adjacent tissue such as bone and cartilage. A 45-year-old male patient presented with chief complaints of growth mass of the left foot. He is known diabetic, hypertensive, chronic venous insufficiency and related ulcerations on the lower legs. There is a tender, ulcero-proliferative mass on foot. The result of biopsy showed a highly differentiated verrucous carcinoma. At first the patient underwent wide excision and biopsy with mesh split thickness skin graft. But after 4 months that surgery, verrucous carcinoma recurred with ulceration. Because tumor infiltrated the soft periosteal tissues and calcaneus, he need flap coverage or amputation. We decide to reconstruct heel with anterolateral thigh perforator free flap. The goal of heel reconstruction should be functional and aesthetic. Below knee amputation was not performed, so the patient's quality of life increased.
Key Words: Verrucous carcinoma, Anterolateral thigh free flap, Heel defect, Amputation, Diabetic foot

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