engleski

ULCERATED BASEL CELL CARCINOMA ON THE LOWER LEG IMITATE STASIS ULCER

Aim: Ulcerated Basel Cell Carcinoma (also known as a ulcus rodens or rodent) arises on the lower aspect of the leg may frequently be mistaken for a stasis ulcer and ignored. We present a case of a 75-year-old man with an ulcer over the medial malleolus of the right calf. At the begin very small ulcer, constantly spread outwards to diameter of four centimetre. The patient denied the trauma. He attended our Outpatient Clinics due to chronic leg ulcer that had been resistant to treatment for 3 years Method: It looked like a stasis ulcer, but in the wound bed abnormal granulation tissue were present. The skin of the lower leg was brown discolorated with reticular veins and teleangiectasias of the feet and ankles. Arterial pulses on the legs were normal. We started compression therapy by applying short stretch bandages and we are re-evaluating the pathology of chronic ulcer. The leg veins were examined by a color Doppler ultrasound (CDUS) and excluded venous reflux. Results / Discussion: A biopsy of the ulcer edge was performed, and histology showed a basal cell carcinoma. The ulcer was excised with a wide margin and the wound closed with a mesh-graft. Conclusion: This case report illustrates the need of re-evaluating the pathology of chronic leg ulcers and consider biopsy of a wound refractory to 3 months or more of appropriate treatment. The clinical elements suggestive of a cancerous leg ulcer and the absence of a vascular etiology points to the necessity for biopsy.

Basel Cell Carcinoma, chronic lower leg ulcer

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