Abstract
A 72-year-old male was suffering from a chronic ulcer on his left lower leg treated by a cardiovascular surgeon for 40 years. One year ago, the plastic surgeon performed a biopsy at the site of the tumor on the ulcer, and histological examination suspected it to be malignant. He consulted our hospital for treatment of the tumor. A 25×15 cm-sized mass was located on his left lower leg. Above-knee amputation was performed. A pathological diagnosis of squamous cell carcinoma, and stage III (T3N0M0) was established. No relapse or metastasis has been observed during a 10-month follow-up period. Plastic surgeons and dermatologists can diagnose and treat not only chronic ulcers but also skin cancer. We can advise cardiovascular surgeons, podiatrists, and other medical staff that SCC often occurs on chronic venous ulcers, and that biopsy for early diagnosis is important.[Skin Cancer (Japan) 2012 ; 27 : 64-66]
