PRISE EN CHARGE CHIRURGICALE DUN CARCINOME EPIDERMOIDE DU TALON.SURGICAL MANAGEMENT OF A SQUAMOUS CELL CARCINOMA OF THE HEEL.
J. Hafidi
, M.A. Mokfi
, M. Raboune
, S. El Mazouz
, N. Gharib
, A. Abbassi
, S. El Khloufi
, M.L Bouchikhi
, M. Jiddane
and Y. Bjijou.
- Service de chirurgie plastique et des br?l?s, h?pital Ibn-Sina, Rabat.
- Laboratoire d?anatomie, de microchrurgie et chirurgie exp?rimentale, facult? de m?decine et de pharmacie de Rabat.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Introduction: There are malignant tumors of the skin with metastatic potential. We describe the case of a patient with a tumor of the heel who benefited of a surgical treatment in our unit. Observation: we describe the case of a patient aged 48 years old who has a heel tumor measuring 10cm. The preoperative evaluation showed multiple lymph nodes in the groin and the popliteal fossa. We have performed a complete resection of the tumor immediately followed by groin and popliteal lymph node dissection. The reconstruction of the defect left by the removal of the heel tumor was done 15 days later with a skin graft. Discussion: These carcinomas are often due to sun exposure. They are lymphophilic tumors. The removal of the tumor must be accompanied by lymph node dissection if the staging reveals lymphadenopathy. The groin dissection requires identification of the cleaning limits (femoral triangle), a vascular control, and removal of the cell-node lamina located around the saphenous vein. Two early complications are to remember: seroma and infection. Conclusion: The treatment of our patient was made by the complete removal of the tumor with a groin and popliteal dissection. Skin grafting has full coverage of the loss of substance of the heel.
- Ridky TW. Nonmelanoma skin cancer. J Am AcadDermatol. 2007; 57(3):484?501.
- Bonerandi JJ, Beauvillain C, Caquant L, Chassagne JF, Chaussade V, Clavere P, et al. Guidelines for the diagnosis and treatment of cutaneous squamous cell carcinoma and precursor lesions. J EurAcadDermatolVenereol. 2011;25Suppl 5:1?51.
- NCCN CpGiO. Basal cell and Squamous Cell Carcinoma. 2012
- Edge SB, Compton CC. The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM. Ann SurgOncol. 2010;17(6):1471?4.
- Motley R, Kersey P, Lawrence C. Multiprofessional guidelines for the management of the patient with primary cutaneous squamous cell carcinoma. Br J Dermatol. 2002;146(1):18?25.
- Revol, JM Servant. Manuel de chirurgie plastique, reconstructrice et esth?tique. 2?me edition revise etaugment?e. 2009; 206-215.
- Chevallier JM. Anatomie Flammarion M?decine Sciences. Paris, 1998.
- Rouvi?re H. Anatomie humaine, descriptive et topographique. Paris, 1984 (12?me ?dition).
- Querleu D. Chirurgie des cancers. Chirurgie de stadification. In: Masson, editor. Techniques chirurgicalesengyn?cologie. 2e ?dition. Paris 1998;p125-7.
- Spratt J. Groin dissection. J SurgOncol 2000;73:243-62.
- Judson PL, Jonson AL, Paley PJ, Bliss RL, Murray KP, Downs LS Jr, Boente MP, Argenta PA, Carson LF. A prospective, randomized study analyzing sartorius transposition following inguinal-femoral lymphadenectomy. GynecolOncol 2004;95:226-30.
- Soci?t? Fran?aise d'Anesth?sie R?animation. Recommandations pour la pratique clinique. Pr?vention de la maladiethromboemboliqueveineusep?riop?ratoireetobst?tricale. 2005.
[J. Hafidi, M.A. Mokfi, M. Raboune, S. El Mazouz, N. Gharib, A. Abbassi, S. El Khloufi, M.L Bouchikhi, M. Jiddane and Y. Bjijou. (2019); PRISE EN CHARGE CHIRURGICALE DUN CARCINOME EPIDERMOIDE DU TALON.SURGICAL MANAGEMENT OF A SQUAMOUS CELL CARCINOMA OF THE HEEL. Int. J. of Adv. Res. 7 (Aug). 585-591] (ISSN 2320-5407). www.journalijar.com
¹ Service de chirurgie plastique et des brûlés, hôpital Ibn-Sina, Rabat ² Laboratoire d’anatomie, de microchirurgie et chirurgie expérimentale, faculté de médecine et de pharmacie de Rabat
