Detección de una úlcera neoplásica en atención primaria desde el diagnóstico hasta su resolución

Introduction: Neoplastic ulcers are lesions caused by the growth of a previous tumor or by the metastasis of other tumors. Their diagnosis and detection are a challenge for Primary Care, since many of the lesions we treat may be malignant and go unnoticed, being considered as chronic ulcers with little tendency to heal. Presentation and evolution of the clinical case: We present the case of a woman with a 10-year ulcer on the lower limb. Due to the complexity of the case, she was referred to the advanced practice nurses in complex chronic wounds (EPA-HCC). These nurses assessed the patient and due to the atypical signs she presented, they decided to contact the Dermatology Department, which performed a biopsy and confirmed basal cell carcinoma. Surgical intervention with excision of the tumor and skin grafting was decided, with good evolution until total closure of the lesion. Discussion: The rapid suspicion due to atypical signs in the lesion, together with the agile coordination of the EPA-HCC of Primary and Specialized Care with the Dermatology service, allowed a correct diagnosis of the lesion after 10 years of evolution and the resolution of the wound. Therefore, in the case of injuries that do not evolve according to optimal treatment standards, the etiology of the injury must be reconsidered.