title: [Cuniculatum carcinoma. 6 cases and review of the literature].
abstract: The cuniculatum carcinoma is a rare type of epidermoid carcinoma. We report 6 cases with different localizations ("oral cavity and larynx", vulva, lower limb) treated over a 23-year period. Diagnosis is particularly difficult and requires careful clinical examination completed by deep surgical biopsy for histology. The aetiology of the tumour is not well defined. It presents as a slow growing wart with local malignancy and chronic suppuration. Extension to lymph nodes is rare. Histologically there is proliferative deep malpighian infiltration with an aspect of normal cell maturation. Galeries are hollowed out giving the aspect of a rabbit burrow (cuniculatum). Surgery is the only treatment, generally without lymph node curage. Radiotherapy is contraindicated due to anaplastic transformation.
authors.affiliation: Département de Chirurgie Oncologique, Centre de Lutte Contre le Cancer Paul Strauss, Strasbourg.
authors.forename: J F
authors.initials: JF
authors.lastname: Delahaye
authors.forename: J C
authors.initials: JC
authors.lastname: Janser
authors.forename: J F
authors.initials: JF
authors.lastname: Rodier
authors.forename: B
authors.initials: B
authors.lastname: Auge
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D001859:Bone Neoplasms / Q000473:pathology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006365:Heel / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000473:pathology* / Q000601:surgery; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000601:surgery
vernacular_title: Le carcinome cuniculatum. 6 observations et revue de la littérature.