Verrucous Carcinoma Arising Secondary to Diabetic Foot Lesions: A Systematic Review of the Literature

Main Article Content

Kayla Neville
Aleksandar Obradovic https://orcid.org/0000-0002-8009-0186

Keywords

Verrucous carcinoma, diabetic foot ulcer, diabetes, cancer

Abstract

Verrucous carcinoma is classically considered a variant of squamous cell carcinoma, most commonly occurring in the oral cavity in association with snuff and chewed tobacco. However, the association between verrucous carcinoma of the foot and diabetes is less well known. This study presents a systematic review of all articles containing the search term “verrucous carcinoma” and “diabetic foot ulcer” in the abstract or title that have been published in PubMed before September 2020. The requirement for inclusion in our report were that the patient data had been documented in a case‐related manner and the patient diagnosed with verrucous carcinoma secondary to diabetic foot lesion. Seven descriptions of verrucous carcinoma presenting in patients with diabetic foot ulcers were presented across six case reports, and clinical case descriptions are collected here along with treatment outcomes, where available, and discussion of common mimics of verrucous carcinoma of the foot. Due to treatability and potential for extensive invasion of local structures requiring resection with wide margins, verrucous carcinoma should be carefully considered in the differential diagnosis of a warty foot lesion in the setting of the diabetic foot.

References

1. Armstrong DG, Boulton AJ, Bus SA: Diabetic foot ulcers and their recurrence. New England Journal of Medicine 376: 2367, 2017.

2. Nathan DM: Long-term complications of diabetes. New England Journal of Medicine 328: 1676, 1993.

3. Prompers L, Huijberts M, Apelqvist J, et al.: High prevalence of ischaemia, infection and serious comorbidity in patients with diabetic foot disease in Europe. Baseline results from the Eurodiale study. Diabetologia 50: 18, 2007.

4. Lipsky BA, Berendt AR, Cornia PB, et al.: 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clinical infectious diseases 54: e132, 2012.

5. Lavery LA, Armstrong DG, Wunderlich RP, et al.: Diabetic foot syndrome: evaluating the prevalence and incidence of foot pathology in Mexican Americans and non-Hispanic whites from a diabetes disease management cohort. Diabetes care 26: 1435, 2003.

6. Devaney KO, Ferlito A, Rinaldo A, et al.: Verrucous carcinoma (carcinoma cuniculatum) of the head and neck: what do we know now that we did not know a decade ago?. European Archives of Oto-Rhino-Laryngology 268: 477, 2011.

7. Ackerman LV: Verrucous carcinoma of the oral cavity. Surgery 23: 670, 1948.

8. Santoro A, Pannone G, Contaldo M, et al.: A troubling diagnosis of verrucous squamous cell carcinoma (“the bad kind” of keratosis) and the need of clinical and pathological correlations: a review of the literature with a case report. Journal of skin cancer 2011: 370605, 2011.

9. Kraus FT, Perez‐Mesa C: Verrucous carcinoma. Clinical and pathologic study of 105 cases involving oral cavity, larynx and genitalia. Cancer 19: 26, 1966.

10. Moher D, Liberati A, Tetzlaff J: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS med 6: e1000097, 2009.

11. Lozzi GP, Peris K: Carcinoma cuniculatum. Cmaj 177: 249, 2007.

12. Armstrong DG, Boulton AJ, Bus SA: Diabetic foot ulcers and their recurrence. New England Journal of Medicine 376: 2367, 2017.

13. Di Palma V, Stone JP, Schell A, et al.: Mistaken Diabetic Ulcers: A Case of Bilateral Foot Verrucous Carcinoma. Case reports in dermatological medicine 2018: 4192657, 2018.

14. Priesand SJ, Holmes CM: Malignant Transformation of a Site of Prior Diabetic Foot Ulceration to Verrucous Carcinoma: A Case Report. Wounds: a compendium of clinical research and practice 29: E125, 2017.

15. Nakamura Y, Kashiwagi K, Nakamura A, et al.: Verrucous carcinoma of the foot diagnosed using p53 and Ki-67 immunostaining in a patient with diabetic neuropathy. The American Journal of Dermatopathology 37: 257, 2015.

16. Penera KE, Manji KA, Craig AB, et al.: Atypical presentation of verrucous carcinoma: a case study and review of the literature. Foot & Ankle Specialist 6: 318, 2013.