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Dermatology  (Expert Forum)
 | 
Planter Wart - 2 yrs of treatment noneffective/cancer next
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
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Planter Wart - 2 yrs of treatment noneffective/cancer next

by MedSet, Jan 07, 2003 12:00AM
After several months of sylic (sp) acid - self applied, followed by 3/4 year treatment with liquid nitrogen via dermotolgist, I was transferred to a podiatrist.  Five months ago started treatment with 37% Formulin - daily regiment to blister away the wart.  Ouch.  At times we removed near 1/4" layers of skin.  My foot is no better and wart area is very hard - like walking on a small rock.  That rock feel occured in the last two weeks. Yesterday, Dr. exclaimed he seeks a biobsy due to red streaks eminating from the wart area.  He hasn't seen this before.  The wart is large and Dr. doesn't feel he would be able to remove it completely anyway. I've read the whole forum, I've been trying to treat this for two years; besides leaving it alone (and the daily pain)what other options medically is there?  Radiation?  Subsurface laser? Surgery of what ever kind? I'm now concerned about cancer resulting from so much abuse to this area over the last two years. Any insights would be most appreciated.  Thank you.

by Alan Rockoff, MD, Jan 07, 2003 12:00AM
You dn't need to worry about cancer--repeated trauma doesn't cause cancer.

Red streaks suggest infection, not cancer.  I don't see the need for a biopsy, at least not on grounds of red streaking.

If the wart refuses to respond and causes pain when walking, then surgery seems reasonable to consider, even though this is not often necessary for plantar warts.

I advise you to get an opinion on this matter from a surgically-oriented podiatrist.  Many use laser or scalpel surgery to remove such warts.  (The material would be tested as well when it's removed.) Warts may recur even after surgery, but given the facts as you presnt them, I think it's an approach worth getting an opinion or two on.

Best.

Dr. Rockoff
Member Comments (2)

by ucla81, Jan 13, 2003 12:00AM
I also had plantar warts on my foot and they were fairly good size and were starting to really annoy me when I walked, jog, etc.  I also tried over-the-counter ****, Aldara cream, and nothing worked.   I agree you need to see a good podiatrist who does laser surgery.  I had mine lasered off, the procedure took about an hour, in the office, and after about 3 weeks of bandages and hobbling around, the warts are completely gone.   Forget those creams and go for laser surgery.  I shoyld have done that a year ago....Good luck.

by MNM95, Mar 15, 2008 01:42AM
A related discussion, Planter Wart was started.

by jjbandura, Sep 28, 2009 12:40PM
A related discussion, planters wart was started.
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