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首页> 外文期刊>American Journal of Dermatopathology >A Digital Squamous Cell Carcinoma Mimicking a Diabetic Foot Ulcer, With Early Inguinal Metastasis and Cancer-Related Lymphedema
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A Digital Squamous Cell Carcinoma Mimicking a Diabetic Foot Ulcer, With Early Inguinal Metastasis and Cancer-Related Lymphedema

机译：模仿糖尿病足溃疡的数字鳞状细胞癌，伴早期腹股沟转移和与癌症相关的淋巴水肿

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摘要

Although squamous cell carcinoma (SCC) is the second most common nonmelanoma skin cancer, clinicians have difficulty diagnosing SCC of the toe because its clinical features can mimic other less serious diseases. Clinicians are especially prone to misdiagnose SCC of the toe as diabetic foot ulcer in patients with diabetes mellitus because of the clinical similarity of the 2 ailments. SCC of the toe is generally considered to have a low risk of metastasis. Locoregional or distant metastases without bone or tendon involvement are particularly rare. The authors report here an interesting case of rapidly spreading SCC of the toe with metastasis to multiple lymph nodes and cancer-related lymphedema. Physicians should be aware of the possibility of malignancy when they encounter chronic and recalcitrant ulcerative lesions of the digits.
机译：尽管鳞状细胞癌（SCC）是第二种最常见的非黑素瘤皮肤癌，但临床医生仍难以诊断脚趾的SCC，因为其临床特征可以模仿其他不太严重的疾病。由于这两种疾病的临床相似性，临床医生特别容易将脚趾的SCC误诊为糖尿病患者的糖尿病足溃疡。通常认为脚趾的SCC转移风险低。没有骨骼或肌腱受累的局部或远处转移尤为罕见。作者在这里报告了一个有趣的案例，即脚趾的SCC迅速转移，转移至多个淋巴结和与癌症相关的淋巴水肿。当医师遇到手指的慢性和顽固性溃疡性病变时，应意识到恶性肿瘤的可能性。

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