Journal Articles

The case of the autoamputating toe: was it the SCC?

Share this article

The case of the autoamputating toe: was it the SCC?

Brain Lee, Elizabeth Peterknecht, Keshav Kulkarni, Mirza Sharjil Baig, Philip Nicholl, Sarah Underhill
4 November 2022

Cutaneous Squamous Cell Carcinoma (cSCC) is a rapidly growing tumour arising in the keratinocytes of the epidermis and is the most common skin cancer among African Americans and Asian Indians. We present the case of a 61-year-old Afro- Caribbean man who was referred to the Diabetic Foot Clinic with concerns about a superficial non-healing ulcer to the lateral aspect of the left foot of a 6-year duration. The patient reported autoamputation of the fifth digit at the time of presentation to our clinic. Over the previous years, he had been seen twice in primary care, and three times in secondary care services. Shortly after clinic review, he underwent incisional biopsy due to suspicion of Pyoderma gangrenosum, this showed an invasive squamous cell carcinoma. CT imaging was negative for metastatic visceral or nodal spread. Subsequently, he underwent amputation to the level of the ankle joint and analysis of intraoperative specimens confirmed poorly differentiated squamous cell carcinoma with infiltration of the skeletal muscle and bony tissue planes. The primary aim of this case report is to highlight the possibility of autoamputation due to invasive cSCC and the importance of biopsy in the case of non-healing and atypical ulcerative skin lesions.

Free for all healthcare professionals

Sign up to the Wounds Group journals

By clicking ‘Subscribe’, you are agreeing that the Wounds Group are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our privacy policy.

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.

I am not a healthcare professional.