Verrucous Carcinoma of Foot Managed by Wide Local Excision with Split Skin Grafting

Verrucous Carcinoma of foot is a rare disease, and requires early diagnosis and proper management. A case of 54 year old male who presented with Verrucous Carcinoma of foot, reported here is a rare, locally invasive and well differentiated, low grade squamous cell carcinoma with HPV as a possible causative agent. It follows a chronic course and mimics a variety of skin lesions, delaying diagnosis by up to 15 years. Definitive diagnosis is achieved histologically and recommended treatment is wide local excision. Our patient had an exophytic growth between the 4 and little toe of right th foot, was managed by wide local excision of growth with approximately 5 mm of skin margin, followed by split skin grafting. Complete excision was achieved with no post-operative complications. After one and a half years of follow up there is no recurrence and no functional impairment