Epithelioid Sarcoma Presenting as a Benign Foot Ulcer

Abstract

Background:

Epithelioid sarcomas are rare mesenchymal tumours that infrequently present to dermatologists. The often banal spindle and polygonal cell histology can mimic granulomas.

Objective:

Our aim is to raise the clinician's awareness of a potentially devastating malignancy that can remain unsuspected.

Method:

We present a case of an epithelioid sarcoma that was misdiagnosed as a benign foot ulcer and treated as such for nearly half a year. An uncertain histology further delayed definitive treatment. At the time of surgery, the tumour had infiltrated deeply.

Conclusion:

The often nondescript clinical and histologic nature of epithelioid sarcomas demands a high level of vigilance on the part of the clinician.