Abstract
Verrucous carcinoma is a distinct, well-differentiated variant of squamous cell carcinoma. It is difficult to diagnose verrucous carcinoma because it is a rare tumor with histologic features that often appear benign. Recently, several cases of plantar verrucous carcinoma have been reported (1–4). The skin of the foot is the most common site for a neoplasm to arise. However, the ulcers and hyperkeratosis seen in diabetes mellitus also develop frequently on the plantar region. Benign verrucous skin lesions have been reported in a diabetic patient with neuropathy (5). In this patient, the lesions were very similar to verrucous carcinoma clinically, but the histopathologic finding of the surgical specimen did not show cellular atypia. Recently, we experienced a patient with verrucous lesions on the bilateral first metatarsal heads. The lesions were clinically similar to those of verrucous carcinoma.
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