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A 64-year-old woman presented to our clinic with a 20-year history of a slowly growing plaque on her left foot. This lesion had been pared and a biopsy reportedly performed in the past, but the patient's concomitant mental illness had made her very reluctant to undergo treatment. She ultimately sought treatment because of increasing pain and difficulty walking, as well as drainage and odor. On examination, a large, hyperkeratotic plaque with multiple horny projections was found. The central portion was friable, and after some débridement, an underlying abscess was discovered. An excisional biopsy revealed verrucous carcinoma. A radiograph revealed no . . . [Full Text of this Article] |
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