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Arm amputation secondary to squamous cell carcinoma: exotic expeditions leading to a delayed diagnosis?
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  1. Kevin McGarry,
  2. Michael McBride,
  3. Harry Lewis
  1. Department of Plastic Surgery, South Eastern Health and Social Care Trust, Dundonald, UK
  1. Correspondence to Mr. Kevin McGarry, kmcgarry10{at}qub.ac.uk

https://doi.org/10.1136/bcr-2017-223880

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    Description

    Despite squamous cell carcinoma being one of the most common skin cancers in the UK,1 atypical presentations can lead to delayed diagnosis and management. Here, we present a 67-year-old man who had spent a considerable period of his adult life in the Congo as a gold prospector, referred to us by the dermatology team. The man reported an insect bite that had developed into a chronic ulcer of his left forearm sometime in the early 1990s. The ulcer had been managed conservatively for over 15 years in primary care without ever completely resolving; however, over the past year, it had rapidly developed into a large fungating mass encompassing the majority of …

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    Footnotes

    • Contributors KMcG drafted this submission and produced interpretation of the data in the current body of available literature. MMcB also contributed to this draft and was responsible for critical revision. HL was responsible for conceiving the idea of the study and additionally gaining the images included. All authors had final approval of this version to be published and agree to be accountable for all aspects of the work, ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.