Mansour Oussama, Moussa Mohamad K, Bou Raad Ryan, Zreik Hussein, Allouch Ali H
Orthopedics and Traumatology, Al Zahraa Hospital, University Medical Center, Beirut, LBN.
Orthopedic Surgery, Lebanese University Faculty of Medical Sciences, Beirut, LBN.
Cureus. 2020 Sep 30;12(9):e10740. doi: 10.7759/cureus.10740.
Cutaneous squamous cell carcinoma (cSCC) is relatively rare in the heel and foot. It is characterized by great loco-regional aggressiveness but low metastatic potential. If left untreated, cSCC can grow to a large diameter. The rarity and unfamiliarity of this condition pose therapeutic difficulties to many surgeons. We hereby submit the case of a 32-year-old male patient presenting with a large 14 x 8 cm scaly, ulcerated, and bloody skin lesion covering the entire left heel and invading the calcaneus. The patient was treated with radical excision of the mass and a reverse sural fasciocutaneous flap to cover the remaining heel defect, with a very positive outcome and no complications. This case is presented due to the rarity of the squamous cell carcinoma of the heel, and its large size (14 x 8 cm) in a relatively young patient, especially when it is invading the calcaneus.
皮肤鳞状细胞癌（cSCC）在足跟和足部相对少见。其特点是局部侵袭性强但转移潜能低。如果不进行治疗，cSCC可生长至较大直径。这种情况的罕见性和不常见性给许多外科医生带来了治疗困难。我们在此报告一例32岁男性患者，其左足跟出现一个14×8 cm的巨大鳞状、溃疡且出血的皮肤病变，病变覆盖整个左足跟并侵犯跟骨。患者接受了肿物根治性切除及逆行腓肠肌筋膜皮瓣修复以覆盖足跟剩余缺损，治疗效果非常理想，且无并发症。报告此病例是因为足跟鳞状细胞癌罕见，且在相对年轻的患者中肿瘤较大（14×8 cm），尤其是当它侵犯跟骨时。
