Verrucous nodule on the leg of a 55 year old man
Keywords:
Lichen planus, verrucous carcinoma, squamous cell carcinoma.Abstract
Lichen planus is accepted as a possible precursor of cancer when it affects the oral mucosa. The hypertrophic variety, often located in the lower limbs, can also be a precursor of squamous cell carcinoma. We present a 55-year-old man with a history of cutaneous leishmaniasis and hypertrophic lichen planus of the leg, which developed a verrucous squamous cell carcinoma on the lichen planus lesion, with 5 years of evolution. We recommend carefully monitoring of these leg injuries, especially when they have a chronic evolution, taking into account that occasionally verrucous squamous cell carcinoma may develop, with lichenoid inflammation, and difficult clinical and histological differentiation of hypertrophic lichen planus.
Author Biographies
Andrea García
Médica, residente de tercer año de Dermatología, Fundación Universitaria Sanitas, Bogotá, D.C.; Centro Dermatológico Federico Lleras Acosta, E.S.E., Bogotá, D.C., Colombia
Gerzaín Rodríguez
Médico dermatopatólogo, consultor, Centro Dermatológico Federico Lleras Acosta, Bogotá, D.C.; profesor, Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia.
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