Mohs micrographic surgery for verrucous carcinoma: a review of the literature

Boettler, Michelle A.; Gray, Ashley; Brodsky, Merrick; Shahwan, Kathryn T.; Carr, David

doi:10.1007/s00403-022-02396-2

Cited by 5 publications

(15 citation statements)

References 23 publications

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“…However, this type of surgery might carry an increased recurrence risk, between 19% and 75% [ 24 ]. Mohs micrographic surgery is another option, with reduced recurrence risk at 12.9-16% and minimal distant metastasis risk [ 24 , 25 ]. Amputation could be indicated in the case of extracutaneous involvement, such as calcaneus invasion [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Challenging Recurrence and Management of Squamous Cell Carcinoma in the Calcaneal Region: A Case Report

Tang,

Nguyen,

et al. 2024

Cureus

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Squamous cell carcinoma (SCC) is the second most common type of skin cancer. As ultraviolet exposure represents an important risk factor, SCC commonly occurs on the face, lips, scalp, hands, and heels. The foot is an unusual location to manifest SCC. In this report, we present a case of a 44-year-old woman with severe local recurrence of SCC in the right heel, four years after an initial excision of a primary, small lesion. For various reasons, the patient did not visit the clinic for follow-up assessment during this period. Considering the extent of the lesion and infection risk, the affected leg was amputated at one-third of the lower leg. This case report underlines the importance of educating patients about the risk of SCC and assisting them in attending follow-up visits. In addition, adequate attention should be given to foot lesions with suspicious appearance. Early detection would minimize systemic risks, including metastasis and infection, and maximize preserved function after surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Challenging Recurrence and Management of Squamous Cell Carcinoma in the Calcaneal Region: A Case Report

Tang,

Nguyen,

et al. 2024

Cureus

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“…Boettler et al . 10 concluded in 2022 that verrucous carcinoma has a low metastatic potential but a high local recurrence rate if inadequately excised. They advocated for the use of Mohs micrographic surgery to obtain adequate margins and good outcomes for patients.…”

Section: Discussionmentioning

confidence: 99%

“…They advocated for the use of Mohs micrographic surgery to obtain adequate margins and good outcomes for patients. If done properly recurrence rates should be extremely low and surgery will be curative in most cases 9 , 10 .…”

Section: Discussionmentioning

confidence: 99%

An invasive squamous cell carcinoma of the ankle: a case report

Sumulong¹,

Coruna²,

Liawrungrueang

2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: One to ten percent of all squamous carcinomas are invasive squamous cell carcinomas (ISCC), a rare variation of the disease. According to a recent literature review, less than 25 cases have been reported in the foot and ankle, making it especially uncommon in those areas. Case presentation: The authors present the case of a male patient, 60 years old, who presented with a progressive mass on his left ankle for 2 years with a history of healed burns in that area. The ISCC was diagnosed using histopathology after which he underwent a marginal excision biopsy and split-thickness skin grafting. Wide-marginal excision and split-thickness skin grafting were done. It was noted that the graft had taken well and that there were clear tumour margins postoperatively. The skin graft was almost completely incorporated. No tumour cells were reported on the margins during the postoperative histopathology. Clinical discussion: This case highlights a successful outcome of the patient improved at the 12-month follow-up, and he expressed a high degree of satisfaction with the treatment. Conclusion: ISCC of the lower extremities is a rare disease that almost never affects the ankle and is frequently treated inappropriately since it mimics chronic wounds. It is important to have an index of suspicion in patients with a history of chronic irritation to the area of interest. Surgery is the primary option if ICCS is detected. Clear tumour margins are important, and, if done well, excision should be curative.

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“…La primera línea de tratamiento para estos pacientes es la cirugía, si bien persiste la controversia sobre cuál debería considerarse de primera elección: la cirugía convencional vs la cirugía micrográfica de Mohs (11). Diferentes estudios han encontrado que el riesgo de recurrencia con el abordaje convencional puede llegar hasta el 75%, en comparación con el 16% estimado para la cirugía de Mohs.…”

Section: Discussionunclassified

Carcinoma verrucoso oral

Arango-Bedoya,

García-Correa,

Montealegre-Alvarado

2023

Acta Med Col

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El carcinoma verrucoso oral es una entidad infrecuente, con similitudes clínicas e histopatológicas con otras patologías, lo que dificulta el enfoque clínico y terapéutico inicial. Una vez realizado el diagnóstico, el Gold estándar de manejo es la cirugía, y debe individualizarse cuál abordaje quirúrgico es el más adecuado para el paciente. Tienen un buen pronóstico de supervivencia, sin embargo, acarrean una alta morbilidad dada la afectación funcional y estética que pueden tener los compromisos avanzados. Presentamos una paciente con carcinoma verrucoso oral con compromiso extenso, cuyo diagnóstico fue tardío debido a su similitud con el liquen plano oral

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Mohs micrographic surgery for verrucous carcinoma: a review of the literature

Cited by 5 publications

References 23 publications

Challenging Recurrence and Management of Squamous Cell Carcinoma in the Calcaneal Region: A Case Report

Challenging Recurrence and Management of Squamous Cell Carcinoma in the Calcaneal Region: A Case Report

An invasive squamous cell carcinoma of the ankle: a case report

Carcinoma verrucoso oral

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