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...and vascular complications should be biopsied.

Key words

- Squamous cell carcinoma

- Diabetic foot ulcer

- Misdiagnosis

Squamous cell carcinoma (SCC) is a common skin tumour that rarely affects the foot. A case of an elderly lady with type 2 diabetes who was initially diagnosed with a diabetic foot ulcer is presented and the implications of this case are discussed.

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A 77-year-old woman with type 2 diabetes of 12 years duration presented with a non-healing ulcer on her left posterior heel (see Box 1 for baseline characteristics). The lesion had been present for 8 months prior to the referral, it measured 10mm by 10mm and was covered in an overlying hyperkeratosis. The lesion had been managed by the patient and her family; however, she started experiencing pain and sought advice, and was subsequently referred to the diabetes specialist podiatrists at Monklands Hospital.

Box...

NOTE: All illustrations and photos have been removed from this article.



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