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Atypical Presentation of Squamous Cell Carcinoma of the Foot: A Case Report |
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Nandhini Ganesh, Athira Gopinathan, B Arun, Kamalesh Prabu Ganesh, Pavithra Dhamodaran 1. Postgraduate Student, Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India. 2. Professor, Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India. 3. Postgraduate, Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India. 4. Postgraduate, Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India. 5. Senior Resident, Department of General Surgery, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India. |
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Correspondence Address : Dr. B Arun, SRM Medical College Hospital and Research Centre, SRM Nagar, Pothari, Chengalpatu, Chennai-603203, Tamil Nadu, India. E-mai: arunbharathi95@gmail.com |
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| ABSTRACT |  | ||||||
: Squamous Cell Carcinoma (SCC) of the foot represents a rare clinical entity, often presenting diagnostic challenges due to its resemblance to benign conditions such as chronic ulcers or calluses. In this report, a case of a 61-year-old male with no history of significant sun exposure or smoking, presenting with a non-healing ulcer over the heel of his left foot. Initially misinterpreted as a benign lesion, biopsy revealed SCC, prompting surgical excision (below-knee amputation) with clear margins. Histopathological examination confirmed the diagnosis, highlighting the importance of considering malignancy in non-resolving foot ulcers even in patients with atypical risk profiles. This case emphasises the necessity for early biopsy and intervention to optimise outcomes in uncommon presentations of SCC, particularly in unusual anatomical locations like the foot. Early recognition and management are crucial to prevent local tissue destruction and potential metastasis in such cases. Understanding and recognising these atypical presentations are crucial for early detection, prompt biopsy, and initiation of appropriate treatment, ultimately improving patient outcomes and reducing morbidity associated with advanced SCC of the foot. | |||||||
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| Keywords : Below-knee amputation, Diabetes mellitus foot, Maggots, Sentinel node biopsy, Verrucous carcinoma | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2025/79136.3070
Date of Submission: Apr 04, 2025 Date of Peer Review: Jul 16, 2025 Date of Acceptance: Aug 29, 2025 Date of Publishing: Nov 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Apr 16, 2025 • Manual Googling: Aug 22, 2025 • iThenticate Software: Aug 28, 2025 (4%) ETYMOLOGY: Author Origin EMENDATIONS: 6 |
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Case report
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