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Hi folks.
This is supposed to be an extremely rare change in a wound. It is often associated with squamous cell carcinoma, and less often in chronic leg ulcers. We have had 2 here in the last couple of years in patients with diabetic foot wounds. One of the stimulants for their growth is irritation -> debridement, which we do quite a bit for plantar HK thick wounds.
Has anybody had any experience/advice with these lesions?

Cheers

 

I found this link if its any help
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3034640/

 

Thanks for the link Lizzy.
Unfortunately, it is just adding to the already bleak reading that I have done on this. The outcomes for multiple treatment modalities appear to be less than successful long term, and often the PEH returns.
I certainly appreciate you having a poke around for me.

Cheers.