Reconstruction of Heel Defect Occured by Verrucous Carcinoma

Verrucous carcinoma is a low-grade, well differentiated, uncommon variant of squamous cell carcinoma 1 .It is also referred to as Ackerman's tumor because it was first described by Ackerman in 1948 2,3 .The age of presentation ranges from 50 to 80 years, with a median age of 67 years, and it shows a male predominance 4 .The most common site of involvement is the oral mucosa 5 .It may occur in the head, neck region, and the genitalia.The extremities are an unusual site of occurrence 6 .Verrucous carcinoma may grow very large and destroy adjacent tissues such as bone and cartilage.Surgery is considered as the treatment of choice.The extent of the surgical margin and the use of adjuvant radiotherapy are still controversial.Verrucous carcinoma on the foot is unusual.