ePlasty: Vol. 16
Bilateral Plantar Verrucous Carcinoma
Charlie Riccio, MDa, Kathryn King, MDb, Joshua B. Elston, MDb, Michael A. Harrington, MDb, and C. Wayne Cruse, MDb

aDepartment of Plastic Surgery, University of Tennessee Health Science Center, Memphis; and bDivision of Plastic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa


Correspondence: jelston1@health.usf.edu
Keywords: verrucous carcinoma, squamous cell carcinoma, plantar, human papilloma virus, malignancy
Figure 1. (a) Bilateral chronic plantar ulcerations diagnosed as verrucous carcinoma. (b) Appearance after tangential excision of the carcinomas. (c) Intraoperative view of thick-sheet split-thickness skin grafts to the bilateral plantar defects.
Figure 2. Close-up view of right plantar foot demonstrating verrucous (warty) appearance of initial lesion. Positive margins were encountered far outside of the area of the ulcer, supporting the aggressive nature of this carcinoma.

DESCRIPTION

A 54 year-old male gentleman with a history of chronic ulcerations to the bilateral plan .......