title: Epithelioma cuniculatum: A case report.
abstract: Epithelioma cuniculatum (carcinoma cuniculatum) is a rare, low-grade verrucous carcinoma of the foot first described in 1954. We present a case report of a 55-year-old man with an enlarging lesion on the sole of his right foot. Despite initial benign pathology the lesion continued to grow, soften in consistency and develop a foul odour. Repeat biopsy showed a well-differentiated squamous cell carcinoma and below-the-knee amputation was required. Epithelioma cuniculatum presents as a slow growing mass on the plantar aspect of the foot. Diagnosis is often delayed and may require multiple biopsies. Lesions rarely metastasise but more commonly invade locally requiring wide surgical excision.
authors.affiliation: Department of Dermatology, COPD, University Hospital of North Staffordshire, Hartshill Road, Stoke-on-Trent, England ST4 7PA, United Kingdom. James_Halpern@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Halpern
authors.forename: S
authors.initials: S
authors.lastname: Harris
authors.forename: V
authors.initials: V
authors.lastname: Suarez
authors.forename: R
authors.initials: R
authors.lastname: Jeyaratnam
authors.forename: A G
authors.initials: AG
authors.lastname: Smith
mesh_terms: D000671:Amputation, Surgical; D018289:Carcinoma, Verrucous / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005534:Foot Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged