title: Basal cell carcinoma masquerading as a hallux valgus.
abstract: The incidence of primary skin cancers of the foot is exceedingly low; conversely, problems associated with a hallux valgus are common. A nonhealing ulcer overlying a hallux valgus managed conservatively with ointments and orthotic adjustments, and even with skin grafts, did not resolve over a period of 10 years. Ultimately, a shave biopsy revealed that the lesion was a basal cell carcinoma. Wide local excision and another skin graft resulted in tumour eradication and, finally, healing. Basal cell carcinoma associated with a hallux valgus has not been previously reported, and this reinforces the concept that malignant degeneration as the cause of any chronic ulceration should not be overlooked.
authors: Division of Plastic Surgery, St Luke's Hospital, Bethlehem, Pennsylvania, USA.
authors: Geoffrey G
authors: GG
authors: Hallock
authors: Imelda S
authors: IS
authors: Bulatao