PDF(Pubmed)
Abstract：
Squamous cell carcinoma (SCC) is the second most common type of skin cancer. As ultraviolet exposure represents an important risk factor, SCC commonly occurs on the face, lips, scalp, hands, and heels. The foot is an unusual location to manifest SCC. In this report, we present a case of a 44-year-old woman with severe local recurrence of SCC in the right heel, four years after an initial excision of a primary, small lesion. For various reasons, the patient did not visit the clinic for follow-up assessment during this period. Considering the extent of the lesion and infection risk, the affected leg was amputated at one-third of the lower leg. This case report underlines the importance of educating patients about the risk of SCC and assisting them in attending follow-up visits. In addition, adequate attention should be given to foot lesions with suspicious appearance. Early detection would minimize systemic risks, including metastasis and infection, and maximize preserved function after surgical intervention.
摘要：
鳞状细胞癌（SCC）是第二常见的皮肤癌。由于紫外线照射是一个重要的危险因素，SCC通常发生在面部，嘴唇,头皮,手,和高跟鞋。脚是表现SCC的不寻常位置。在这份报告中,我们介绍了一例44岁女性，其右足跟严重局部复发，最初切除小学四年后，小病变。由于各种原因,在此期间,患者没有到诊所进行随访评估.考虑到病变的程度和感染风险，受影响的腿在小腿的三分之一处被截肢。此病例报告强调了对患者进行SCC风险教育并协助他们进行随访的重要性。此外,应充分注意外观可疑的足部病变。及早发现可以最大限度地减少系统性风险，包括转移和感染，并在手术干预后最大限度地保留功能。
