Recalcitrant Verrucous Lesion Verrucous Hyperplasia or Epithelioma Cuniculatum (Verrucous Carcinoma) J Am Podiatr Med Assoc.
Multiple epithelioma cuniculatum in a multilating keratoderma.
Epithelioma cuniculatum sur ulceration chronique du pied.
Epithelioma cuniculatum refers to verrucous carcinoma found almost exclusively in the foot andwas first describedin 1954 by Professor Ian Aird .
Epithelioma cuniculatum is almost always unilateral and rarely involves multiple sites.
The gross appearance of epithelioma cuniculatum is characteristic and distinctive, presenting as a warty, keratotic or sometimes soft tumour.
There are only five records of metastatic epithelioma cuniculatum in the literature, all with metastasis to lymph nodes and lung in one patient [4, 7].
Only one case in the literature describes bilateral epithelioma cuniculatum and this patient was treated successfully with excision and selective toe amputation .
Moh's technique, which microscopically controlled dissection allows total tumour removal with maximum preservation of normal tissue structure, has been reported to be successfully implemented on patients with epithelioma cuniculatum.
Although being a rare diagnosis, awareness should be raised of epithelioma cuniculatum, due to the slow growing but locally aggressive nature of the tumour.