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This basaloid squamous cell carcinoma is associated with overlying squamous cell carcinoma in situ (hematoxylin-eosin, original magnification X200).
The lesion did not resolve and was subsequently biopsied, revealing squamous cell carcinoma in situ (Figures 1 and 2).
The present case report, involving a railroad worker with a relatively "pure" long-term coal tar creosote exposure and a subsequent squamous cell carcinoma in situ in a non-sun-exposed skin area, further supports the relationship between coal tar creosote exposure and squamous cell carcinoma of the skin.
We present the case of 62-year-old man with subungual squamous cell carcinoma in situ that for many years was treated as a verruca.

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