[Carcinoma cuniculatum: an uneasy diagnosis to suspect in case of chronic osteomyelitis with unsuccessful outcome despite appropriate antibiotic therapy]

Rev Med Interne. 2006 Sep;27(9):713-6. doi: 10.1016/j.revmed.2006.04.021. Epub 2006 Jun 6.
[Article in French]

Abstract

Introduction: The clinical and histological features of cuniculatum carcinoma (CC) are often misleading.

Case report: We report a case of CC of the foot, which was misdiagnosed as osteomyelitis for a two year period and which relapsed 2 months after complete resection.

Discussion: The CC has to be evoked in patients with chronic osteomyelitis and torpid wound. The anatomopathologist needs to be aware of the suspected diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Surgical
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Biopsy
  • Carcinoma, Verrucous* / diagnosis
  • Carcinoma, Verrucous* / pathology
  • Carcinoma, Verrucous* / surgery
  • Chronic Disease
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Osteitis / diagnosis*
  • Osteitis / drug therapy
  • Radiography
  • Recurrence
  • Time Factors
  • Toes* / diagnostic imaging
  • Toes* / pathology
  • Toes* / surgery
  • Treatment Outcome
  • Wounds and Injuries / drug therapy
  • Wounds and Injuries / microbiology

Substances

  • Anti-Bacterial Agents