Abstract
A 49 years old male patient, with no particular pathological history, presented for two years with an exophytic, hyperkeratotic infiltrating lesion of the palm side of the left wrist with muscular atrophy of the hand and blockage of the wrist joint, with no palpable enlarged lymph nodes. A magnetic resonance imaging of the hand was performed, showing a loss of substance of the anterior side of the wrist and the hand associated with an infiltration of the subcutaneous soft tissues and muscles of the thenar eminence with Long palmar tendon sheathing. The patient was treated by surgery consisting on a wrist and forearm Amputation and Histological examination finally concluded to a verrucous carcinoma with clear resection margins. The evolution was favorable, with no recurrence after 13 months of follow-up.
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