Verrucous carcinoma-an enigma: a case series
Verrucous hyperplasia, verrucous keratosis, and VC may not be distinguished clinically or may coexist. Though it appears remarkably harmless, the histopathological diagnosis of VC should be accompanied with careful identification of tumors with a greater chance to become frank cancers.

Published in the journal Contemporary Clinical Dentistry, the authors report two cases of OVC, referring all the diagnostic intricacy occurring in the clinicopathological examination along with a review of the scientific literature.

Case-1
A patient aged 60 years came with a chief complaint of white growth in the right cheek region since 1 month. The growth was gradual in onset, and of the same size since the patient noticed it. The right submandibular lymph nodes were palpable which were around 1 cm diameters soft and movable.

Intraorally, a well-defined keratotic mass with finger-like projections on the surface was present of 4 cm × 5 cm, roughly oval in shape, well-defined borders extending from buccal mucosa of 47 to hard and soft palate faucial pillars, 3 cm in front of uvula anteroposteriorly and from 1 cm above line of occlusion on the right buccal mucosa up to the vestibule involving the retropharyngeal area, and lingual alveolar mucosa up to the alveololingual sulcus. Based on the clinical appearance provisional diagnosis of VC was given after which incisional biopsy taken confirmed the lesion as verrucous hyperplasia (VH).

Case-2
A 30-year-old patient came with a chief complaint of growth in the retrocommissural area for 6 months. The growth was gradual in onset and was increasing in size since the patient noticed it. The left submandibular lymph nodes were palpable which were around 1.5 cm diameter, soft, and movable. Intraorally, two well-defined exophytic growths present with 3 cm × 4 cm in diameter each, with surface projections. Palpable vertical bands were present in 36 and 26 regions. A provisional diagnosis of VC was given and after incisional biopsy, the diagnosis was as VH.

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