Unusual Location of Verrucous Carcinoma: A Case Report

Abstract

Verrucous carcinoma is a well-differentiated variant of squamous cell carcinoma with low risk of systemic complications but locally aggressive behavior. It predominantly affects males between 50 and 60 years of age. It is associated with human papillomavirus (HPV), and most cases occur in the oral cavity, genital area, and soles. However, extremity presentations are rare, and due to this rarity, incidence is uncertain. It is often underdiagnosed because of its clinical resemblance to other skin conditions.

Histologically, diagnosis may be difficult due to the tumor’s deceptively benign appearance. Complete excision or Mohs micrographic surgery is the treatment of choice. We present the case of a 75-year-old patient with a slowly growing exophytic tumor over the past five years, following a leg burn.