2017 Volume 32 Issue 1 Pages 71-75
A 58-year-old male with type 2 diabetes for over 10 years noted small blisters on the sole of his right foot 2 years ago. One month ago, he visited the dermatology department of a general hospital. Verrucous carcinoma was suspected based on clinical findings, and he was referred to our hospital. Magnetic resonance imaging revealed a 4-cm-sized tumor in the adipose tissue, which infiltrated up to the adjacent muscular layer. Blood tests showed a markedly elevated HbA1c level of 10.8%. A supra-aponeurotic tumor resection with a horizontal margin of 1 cm was performed. The defect after resection was covered with artificial dermis. Since strict treatment of diabetes and topical therapy was performed, and granulation tissue was gradually observed, Thiersch skin grafting was performed. There has been no apparent recurrence or distal metastasis during the 15 months after surgery. [Skin Cancer (Japan) 2017 ; 32 : 71-75]
