This ulcer is the result of a freezing of a squamous-cell carcinoma of the leg on a Medicare patient. Current (October 1996) Medicare guidelines did not allow the use of MOHS surgery on this patient who chose liquid nitrogen spray as opposed to scraping and burning to treat this tumor. Unfortunately proper freezing or scraping and burning to treat a squamous-cell cancer of the leg results in an ulcer that usually takes several months to heal without biologic dressings and may become infected.

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