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We emphasize the infrequent link between lymphedema and squamous cell carcinoma, and the crucial role of regular pathological examinations during lower limb amputations. Varicose vein development is often associated with saphenous vein reflux, yet more sophisticated venous abnormalities might co-exist. A 45-year-old woman's medical presentation included agonizing leg varicosities and pelvic discomfort. A duplex scan revealed bilateral superficial venous
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