Carcinoma verrugoso en la palma

El carcinoma verrugoso es una variante rara y bien diferenciada de carcinoma espinocelular (CEC). Presenta agresividad local y escasa capacidad de producir metastasis. Se manifiesta como un tumor exofitico, queratosico, con multiples senos con drenaje de un material queratosico maloliente. En general, el diagnostico es tardio, ya que simula lesiones benignas y las biopsias superficiales son insuficientes. El tratamiento de eleccion es la escision quirurgica amplia. Se presenta a un paciente de 61 anos con una lesion en la palma izquierda, clinica e histologicamente compatible con un carcinoma verrugoso, localizacion poco comun de esta entidad. Palabras clave: carcinoma verrugoso, carcinoma cuniculatum, palma. Dermatol. Argent. 2017, 23 (2):86-88 Verrucous carcinoma on the palm Abstract Verrucous carcinoma is a rare and well differentiated variant of squamous cell carcinoma (SCC). It presents local aggressiveness and poor capacity to metastasize. It manifests as a keratotic exophytic tumor, with multiple sinus tracts that drain a smelly keratotic material. The diagnosis is generally late because it simulates benign lesions and superficial biopsies are insufficient. The treatment of choice is wide surgical excision. A 61 years old male patient is presented with a lesion on the left palm, clinically and histologically consistent with warty carcinoma, a rare location of this entity. Key words: verrucous carcinoma, cuniculatum carcinoma, palm. Dermatol. Argent. 2017, 23 (2):86-88