Difference between revisions of "Verrucous carcinoma"

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#redirect [[Squamous_cell_carcinoma#Verrucous_squamous_cell_carcinoma]]
'''Verrucous carcinoma''', also '''verrucous squamous cell carcinoma''', is an uncommon variant of [[squamous cell carcinoma]] that may be challenging to diagnose.
 
==General==
*Good prognosis.
*Histomorphologically deceptively bland, i.e. non-malignant appearing.
*Wart-like (verruca = [[wart]]).
*The clinical history, e.g. ''huge verrucous cancer'', is often important for making the diagnosis.
 
==Microscopic==
Features:
*Exophytic growth.
*Well-differentiated.
*"Glassy" appearance.
*Pushing border - described "elephant feet".
 
DDx:
*[[Papilloma]].
*[[Wart]].
 
===Images===
*[http://www.juniordentist.com/wp-content/uploads/2011/06/Verrucous-carcinoma-histology.jpg Verrucous carcinoma (juniordentist.com)].<ref>URL: [http://www.juniordentist.com/verrucous-carcinoma.html http://www.juniordentist.com/verrucous-carcinoma.html]. Accessed on: 3 April 2012.</ref>
*[http://www.pathologyoutlines.com/images/prostate/psverrucous_scc_01.jpg Verrucous SCC (pathologyoutlines.com)].
 
==Sign out==
===Biopsy===
<pre>
Mouth Lesion, Hard Palate, Biopsy:
- Squamous mucosa with keratinization and verrucous features, see comment.
 
Comment:
A clinic note describes a 2 cm mass of the hard palate. The clinical impression is noted. Correlation with imaging and the clinical features is recommended. 
</pre>
 
====Micro====
The sections show superficial squamous mucosa with keratinization and church spire-like structures.  Mild basal cellular changes are present.  Significant nuclear atypia is absent.  Minimal stroma with mild inflammation is present.
 
==See also==
*[[Squamous cell carcinoma]].
 
==References==
{{Reflist|1}}
 
[[Category:Diagnosis]]
[[Category:Head and neck pathology]]
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