Original article | Volume 33, Article 93, 10 Jun 2019 | 10.11604/pamj.2019.33.93.18063

Case study of verrucous carcinoma of the hand: rare location

Mouad Guenbdar, Jamal Louaste

Corresponding author: Mouad Guenbdar, Department of Orthopaedics and Traumatology, Military Hospital Moulay Ismail, BP 50000 Meknes, Morocco

Received: 01 Jan 2019 - Accepted: 02 May 2019 - Published: 10 Jun 2019

Domain: Orthopedic surgery

Keywords: Verrucous, carcinoma, hand

©Mouad Guenbdar et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Mouad Guenbdar et al. Case study of verrucous carcinoma of the hand: rare location. Pan African Medical Journal. 2019;33:93. [doi: 10.11604/pamj.2019.33.93.18063]

Available online at: https://www.panafrican-med-journal.com/content/article/33/93/full

Home | Volume 33 | Article number 93

Original article

Case study of verrucous carcinoma of the hand: rare location

Case study of verrucous carcinoma of the hand: rare location

Mouad Guenbdar1,&, Jamal Louaste1

 

1Department of Orthopaedics and Traumatology, Military Hospital Moulay Ismail, BP 50000 Meknes, Morocco

 

 

&Corresponding author
Mouad Guenbdar, Department of Orthopaedics and Traumatology, Military Hospital Moulay Ismail, BP 50000 Meknes, Morocco

 

 

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Verrucous carcinoma is rare well-differentiated squamous cell carcinoma with very rare metastatic potentiel. Pappilomatosis carcinoides cutis (PPC) is the rarest form of verrucous carcinoma. The risk factors for PCC include chronic inflammation or irritation. It can have multiple locations such as the cheeks, nose, ears, hands, thighs etc. We present a patient with large, cauliflower-shaped mass of the fourth finger. A 60-year-old male presented with painful, cauliflower-shaped mass of 9cm*5cm of the fourth finger of the left hand. The tumor surface was exophytic, irregular, crossed by deep grooves. Disease history is 12 years, the mass was gradually growing. After the histopathological examination of skin biopsy, we have diagnosed pappilomatosis cutis carcinoides. There was no palpable lymphadenopathy. Routine blood investigations were with normal limits. Simple radiographs showed bony erosions. Hand magnetic resonance imaging was performed, an invasion into the bone and tendon was observed. Chest abdominal pelvic CT scan were normal. We performed a partial amputation of the fourth ray with safety margins (5mm) and a full-thickness skin graft. The histopathology of excisional mass border confirmed the tumor was removed entirely. He had no tumor recurrence or metastatic disease during follow-up for 4 years.

 

Figure 1: clinical appearance of verrucous carcinoma of the fourth finger; vegetant mass, cauliflower-shaped with irregular surface

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Case study of verrucous carcinoma of the hand: rare location

Original article

Case study of verrucous carcinoma of the hand: rare location

Original article

Case study of verrucous carcinoma of the hand: rare location