Korean J Dermatol.  2009 Apr;47(4):468-471.

A Case of Squamous Cell Carcinoma with Metastasis That Occurred on the Heel

• Kim BC
• Choi WJ
• Kang MH
• Park EJ
• Cho HJ
• Kim KH
• Kim KJ

Abstract

Squamous cell carcinoma is the second most common form of skin cancer. Most cases of squamous cell carcinoma of the skin are induced by ultraviolet radiation. Most commonly, it arises in sun-damaged skin or from an actinic keratosis. Next to sun-damaged skin, squamous cell carcinoma arises most commonly in scars from burns and in stasis ulcers, which are termed Marjolin's ulcer. The rate of metastasis for squamous cell carcinoma has ranged from 0.5 percent to 6 percent, and metastasis tends to occur with tumors that are large, recurrent and they involve deep structures or cutaneous nerves. Squamous cell carcinoma of the heel is uncommon. We report here on a case of squamous cell carcinoma that developed from a scar on the heel of a 46-year-old woman 3 months before she presented to our hospital and it metastasized to the regional lymph nodes. The patient was treated with excision and radiotherapy and there has been no evidence of recurrence for 4 months.

Keyword

Heel; Metastasis; Squamous cell carcinoma

MeSH Terms

Burns
Carcinoma, Squamous Cell
Cicatrix
Female
Heel
Humans
Keratosis, Actinic
Lymph Nodes
Middle Aged
Neoplasm Metastasis
Recurrence
Skin
Skin Neoplasms
Ulcer
Varicose Ulcer