Abstract
62 years old female had suffered from plantar epidermal cysts for over 10 years. The first clinical examination showed multicystic pearl-like cysts and keratinization extending to the sole. An adequate wide excision and histopathological studies indicated squamous cell carcinoma. A secondary operation was performed to excise partially the calcaneal bone and perform reconstruction with a medial plantar flap. No disfunction and no local recurrence or metastasis have been noted since the patient's surgery two and a half years ago. This success is, we believe, due to quick and accurate diagnosis and appropriate surgery which include various reconstructions.