1. Marjolin’s squamous cell carcinoma of the hallux following recurrent ingrown toenail infections
- Author
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Anthony Perera, Barry James O'Neill, and Wahid Abdul
- Subjects
Oncology ,medicine.medical_specialty ,Ingrown toenail ,Skin Neoplasms ,medicine.medical_treatment ,Nails, Ingrown ,Malignancy ,Article ,Amputation, Surgical ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Humans ,Medicine ,Basal cell ,030212 general & internal medicine ,business.industry ,Osteomyelitis ,Tinea Pedis ,General Medicine ,Middle Aged ,Phalanx ,medicine.disease ,Magnetic Resonance Imaging ,Dermatology ,body regions ,Amputation ,Carcinoma, Squamous Cell ,Hallux ,Female ,Skin cancer ,business ,Rare disease - Abstract
Marjolin's squamous cell carcinoma (SCC) affecting the toe is rare. Due to resemblance with benign conditions it can often result in misdiagnosis. We report a case of Marjolin's SCC affecting the proximal hallux in a patient with recurrent ingrown toenail infections. A 58-year-old woman with a background of wedge resections for ingrown toenail and distal phalanx amputation for osteomyelitis presented with pain and hyperkeratotic raised ulcer around the proximal phalanx. MRI scan revealed soft tissue mass infiltrating the proximal phalanx with biopsies confirming a SCC. The patient underwent first ray amputation and made a good clinical recovery and remains disease free. Due to clinical similarities with benign conditions, awareness of Marjolin's SCC as a potential diagnosis when treating patients with recurrent ingrown toenail is imperative. We recommend patients with recurrent ingrown toenail or ulceration with a background of chronic infection have biopsies performed to exclude potential malignancy.
- Published
- 2017
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