Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Six Cases of Diabetic Foot Wounds with Concomitant Skin Malignancies

당뇨발 창상에 동반되는 피부 악성종양 6예

  • Tae Hun Kwon (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Taeseung Lee (Department of General Surgery, Seoul National University Bundang Hospital) ;
  • Changsik John Park (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon Hyo Choi (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Kyoung Min Lee (Department of Orthopedic Surgery, Seoul National University Bundang Hospital)
  • 권태훈 (분당서울대학교병원 정형외과) ;
  • 이태승 (분당서울대학교병원 외과) ;
  • 박창식 (울산대학교 의과대학 서울아산병원 성형외과학교실) ;
  • 최윤효 (분당서울대학교병원 정형외과) ;
  • 이경민 (분당서울대학교병원 정형외과)
  • Received : 2022.10.17
  • Accepted : 2022.12.13
  • Published : 2023.03.15
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Abstract

Diabetic foot wounds have a significant effect on the health-related quality of life of patients. As diabetic foot wounds are usually chronic and recurrent, it is possible that they can lead to skin malignancies. Several factors can make it difficult to make an early and accurate diagnosis of skin malignancies of the foot in patients with diabetes mellitus. Even though the prevalence of diabetes mellitus and diabetic foot wounds is increasing, currently there are no guidelines for the biopsy of diabetic foot wounds. We have evolved a criterion for the above based on six cases of diabetic foot wounds with concomitant skin malignancies. We recommend that clinicians should broadly consider implementing this criterion when managing patients with diabetic foot wounds.

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References

  1. Moulik PK, Mtonga R, Gill GV. Amputation and mortality in new-onset diabetic foot ulcers stratified by etiology. Diabetes Care. 2003;26:491-4. doi: 10.2337/diacare.26.2.491.
  2. Sekhar MS, Thomas RR, Unnikrishnan MK, Vijayanarayana K, Rodrigues GS. Impact of diabetic foot ulcer on health-related quality of life: a cross-sectional study. Semin Vasc Surg. 2015;28:165-71. doi: 10.1053/j.semvascsurg.2015.12.001.
  3. Armstrong DG, Lavery LA. Diabetic foot ulcers: prevention, diagnosis and classification. Am Fam Physician. 1998;57:1325-32, 1337-8.
  4. Mantey I, Foster AV, Spencer S, Edmonds ME. Why do foot ulcers recur in diabetic patients? Diabet Med. 1999;16:245-9. doi: 10.1046/j.1464-5491.1999.00032.x.
  5. Gerassimidis T, Karkos CD, Karamanos D, Kamparoudis A. Current endovascular management of the ischaemic diabetic foot. Hippokratia. 2008;12:67-73.
  6. Muller IS, de Grauw WJ, van Gerwen WH, Bartelink ML, van Den Hoogen HJ, Rutten GE. Foot ulceration and lower limb amputation in type 2 diabetic patients in dutch primary health care. Diabetes Care. 2002;25:570-4. doi: 10.2337/diacare.25.3.570.
  7. Stratigos A, Garbe C, Lebbe C, Malvehy J, del Marmol V, Pehamberger H, et al. Diagnosis and treatment of invasive squamous cell carcinoma of the skin: European consensus-based interdisciplinary guideline. Eur J Cancer. 2015;51:1989-2007. doi: 10.1016/j.ejca.2015.06.110.
  8. Fleming ID, Barnawell JR, Burlison PE, Rankin JS. Skin cancer in black patients. Cancer. 1975;35:600-5. doi: 10.1002/1097-0142(197503)35:3<600::aid-cncr2820350309>3.0.co;2-3.
  9. Metzger S, Ellwanger U, Stroebel W, Schiebel U, Rassner G, Fierlbeck G. Extent and consequences of physician delay in the diagnosis of acral melanoma. Melanoma Res. 1998;8:181-6. doi: 10.1097/00008390-199804000-00014.
  10. Boulton AJ. The diabetic foot: from art to science. The 18th Camillo Golgi lecture. Diabetologia. 2004;47:1343-53. doi: 10.1007/s00125-004-1463-y.