PRISE EN CHARGE CHIRURGICALE DUN CARCINOME EPIDERMOIDE DU TALON.SURGICAL MANAGEMENT OF A SQUAMOUS CELL CARCINOMA OF THE HEEL

Introduction: There are malignant tumors of the skin with metastatic potential. We describe the case of a patient with a tumor of the heel who benefited of a surgical treatment in our unit. Observation: we describe the case of a patient aged 48 years old who has a heel tumor measuring 10cm. The preoperative evaluation showed multiple lymph nodes in the groin and the popliteal fossa. We have performed a complete resection of the tumor immediately followed by groin and popliteal lymph node dissection. The reconstruction of the defect left by the removal of the heel tumor was done 15 days later with a skin graft. Discussion: These carcinomas are often due to sun exposure. They are lymphophilic tumors. The removal of the tumor must be accompanied by lymph node dissection if the staging reveals lymphadenopathy. The groin dissection requires identification of the cleaning limits (femoral triangle), a vascular control, and removal of the cell-node lamina located around the saphenous vein. Two early complications are to remember: seroma and infection. Conclusion: The treatment of our patient was made by the complete removal of the tumor with a groin and popliteal dissection. Skin grafting has full coverage of the loss of substance of the heel.