Presentation
This case report presents one such case having atypical features of verrucous carcinoma. Although nodal involvement is rare, it was seen in the present case, thus warranting wide local excision with supraomohyoid neck dissection. [jiaomr.in]
An 81-year-old woman presented for evaluation of a nodule on the right labia majora that had been present for 1 year. [mdedge.com]
We present a unique case of a 44-year-old male with bilateral foot involvement with recurrences after local excision, leading to management with bilateral forefoot amputations. [academic.oup.com]
The lesion was non-painful, had been present for several months and recently began to increase in size rapidly. The patient presented to our office for initial treatment and I obtained a shave biopsy at this time. [podiatrytoday.com]
Verrucous carcinoma of the larynx presenting as a hairy lesion. J Postgrad Med 2014;60:209-10 How to cite this URL: Triaridis S, Christoforidou A, Zarampoukas T, Vital V. Verrucous carcinoma of the larynx presenting as a hairy lesion. [jpgmonline.com]
Entire Body System
- Swelling
On palpation, the swelling was tender and soft in consistency. [ijdr.in]
It destroys lesional tissues mainly by disrupting cell membrane and by damaging protein, enzyme and vasculature, resulting in cells swelling, rupturing, or dehydrating. [spandidos-publications.com]
- Surgical Procedure
Treatment should prioritize surgical procedure, which will depend on lesion size and location (surgical excision, hemivulvectomia, or vulvectomy). [ncbi.nlm.nih.gov]
- Weakness
Pathology Pathological features in optical microscopy OVC epithelial cells are well differentiated with weak cell atypia. In optical microscopy, the squamous epithelium of OVC shows highly proliferative, papillary appearance and excess aceratosis. [spandidos-publications.com]
Skin
- Ulcer
stasis ulcers, burn scars, or osteomyelitis sinuses. [nature.com]
Thirty years back, he developed the ulcer from a blister on the dorsum of his right foot which he acquired while working, sitting with his legs crossed. He was asymptomatic for the past 30. years though the ulcer did not heal with routine treatment. [journal.sajc.org]
The differential diagnosis for carcinoma may include: Cutaneous SCC — note that carcinoma cuniculatum rarely ulcerates whereas SCC commonly does Viral wart — however, warts are smaller than carcinoma cuniculatum and do not ulcerate. [dermnetnz.org]
This type of tumor should be considered by clinicians dealing with condylomatous ulcerative lesions that do not respond to the usual treatment. [ncbi.nlm.nih.gov]
However HPE of biopsied tissue from the edge of ulcer revealed Verrucous carcinoma [Figure 3]. Both patients were referred to Oromaxillofacial surgery department, where the Verrucous carcinoma tous ulcers were excised with wide margins. [e-ijd.org]
Psychiatrical
- Aggressive Behavior
However, it is known that carcinoma developed from pressure ulcers shows highly aggressive behavior with a high mortality rate compared with secondary malignancy developed from chronic wound including burn scars, chronic venous ulcers, and sinuses due [nature.com]
The gross appearance is generally a bulky tumor suggesting an aggressive behavior, whereas histopathology reveals a relatively low-grade malignancy. [jmedicalcasereports.biomedcentral.com]
Neurologic
- Irritability
Thus, we presume that his occupational posture causing chronic irritation to the dorsum of his feet was the predisposing factor for the lesion. [journal.sajc.org]
[…] characteristic slow growth, minimal local invasion and only rare metastases Suspect if a longstanding verrucous lesion is unresponsive to routine treatment ( Indian Dermatol Online J 2014;5:218 ) Pathophysiology Risk factors include chronic inflammation or irritation [pathologyoutlines.com]
Verrucous carcinoma is a rare type of cancer with external lesions that appear cauliflower-like, typically developing at a site of chronic irritation or inflammation. [colgate.com]
Despite some specimens displaying oncogene expression or altered p53 activity, some authors have discovered no evidence of HPV Trauma and long-term irritation have been implicated as weight-bearing areas have been found to be more frequently affected [pcds.org.uk]
The lesion had gradually become more irritated and had increased in size. The patient had a 10-year history of rheumatoid arthritis and ankylosing spondylitis. [woundsresearch.com]
Workup
At the time of diagnosis, no evidence of distant metastasis or bony involvement was present according to staging workup including the magnetic resonance imaging study of the right leg. [nature.com]
Treatment
Providing you the best range of Verrucous Carcinoma Dental Treatment Services, Central Incisor Dental Treatment Services, Oroantral Abscess Dental Treatment Services, Keep Smiling Dental Treatment Services, Transverse Impaction Dental Treatment Services [indiamart.com]
The 5‐year relative survival rate after initial treatment with surgery alone (86.7%) was notably higher than treatment with irradiation (53.2%). [acsjournals.onlinelibrary.wiley.com]
Treatment The general treatment principles of OVC are consistent with OSCC, but the treatment of OVC has its own characteristics. Since the first report of OVC there have been debates regarding the treatment of choice for this tumor. [spandidos-publications.com]
Treatment Treatment for SCC is based on tumor characteristics, such as size, shape, location, histopathology, and the nature of the skin from which the tumor arises. [woundsresearch.com]
The treatment for verrucous carcinoma is usually surgical excision. Since the rate of nodal metastasis is less, neck dissection and radiotherapy are the least opted modalities of treatment. [jiaomr.in]
Prognosis
Behavior: Has excellent prognosis; locally invasive but almost never metastasize; may recur if inadequately excised. [auanet.org]
Treatment: Surgical Excision and Laser Therapy Prognosis: Good Article by Varun Pandula I am Varun, a Dentist from Hyderabad, India trying my bit to help everyone understand Dental problems and treatments and to make Dental Education simplified for Dental [juniordentist.com]
Conclusions: OVC is a unique variant of OSCC which has a good prognosis. Routine lymphadenectomy can be avoided. [ijmpo.org]
The prognosis of verrucous carcinoma is better than that of other kinds of lifethreating malignant tumors. Surgery is considered the primary mode of treatment for verrucous carcinoma (Figure 1). [clinicsinsurgery.com]
Other factors, such as schistosomiasis infections, are related to bladder verrucous carcinoma. [8] Natural History, Complications and Prognosis The majority of patients with verrucous carcinoma remain asymptomatic for years. [wikidoc.org]
Etiology
The etiology of VC is not well-defined. [cancerjournal.net]
Multifactorial etiology analysis As aforementioned, the etiology of OVC is multifactorial. The most important etiological factors are excess consumption of alcohol, tobacco, and areca nut usage. [spandidos-publications.com]
Surg Buccal mucosa Cigarette smoking 11 58 M Surg Buccal mucosa Cigarette smoking 12 65 M Surg Floor of the mouth Unknown etiology Patients’ medical history revealed no systemic diseases. [ncbi.nlm.nih.gov]
Etiology: Tobacco Chewing Snuff dipping habits – Moistened smokeless tobacco Clinical Features: Age: Above 60 yrs Sex: Males > Females Site/Location: Most common: Gingiva, alveloar mucosa and buccal mucosa Less common: Floor of the mouth Differential [juniordentist.com]
Verrucous carcinoma is a warty, slow growing tumor, which is more likely to cause destruction and compression of underlying tissues than to metastasize. 1,3 Etiology. [woundsresearch.com]
Epidemiology
SHOWING 1-10 OF 17 REFERENCES The pathology of head and neck tumors: verrucous carcinoma Prognostic significance of oral squamous cell carcinoma histological subtype Clinical and epidemiological on tongue cancer over a period of 13 years Coexistence of [semanticscholar.org]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
[…] consumption Differentiating Verrucous Carcinoma from Other Diseases Verrucous carcinoma must be differentiated from other diseases that cause leukoplakic patches, such as: [8] Keratoacanthoma Giant verruca vulgaris Nongenital warts Pyoderma vegetans Epidemiology [wikidoc.org]
The epidemiology, pathogenesis, and localization are those of HPV. Clinical History This 48-year-old patient consulted 2 years before for a pruritus on the left lip. [frontiersin.org]
Verrucous carcinoma of the oral mucosa: An epidemiological and follow-up study of patients treated with surgery in 5 last years. Med Oral Patol Oral Cir Bucal 2014;19:e506-11. [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6] [jiaomr.in]
Pathophysiology
[…] squamous cell carcinoma affecting skin and mucosa with characteristic slow growth, minimal local invasion and only rare metastases Suspect if a longstanding verrucous lesion is unresponsive to routine treatment ( Indian Dermatol Online J 2014;5:218 ) Pathophysiology [pathologyoutlines.com]
Verrucous carcinoma may be classified into 5 subtypes: Epithelioma cuniculatum (Ackerman tumor, carcinoma cuniculatum) Buschke–Löwenstein tumor ( giant condyloma ) Oral florid papillomatosis Subungual keratoacanthoma Gottron's carcinoid papillomatosis Pathophysiology [wikidoc.org]
It is a rare tumor that is strongly associated with smoking and alcohol use [1] and represents 1-3.9% of all primary laryngeal SCC. [2] The role of human papilloma virus in the pathophysiology and clinical behavior of VC is still under debate. [3] These [jpgmonline.com]
[…] considered a clinicopathologic variant of squamous cell carcinoma. [1] Aird et al first described cutaneous verrucous carcinoma (carcinoma cuniculatum) in 1954, and it was named as such because of its characteristic cryptlike spaces on histology. [2] Pathophysiology [emedicine.medscape.com]
Prevention
Complete surgical excision ( Mohs surgery ) is the most common approach to the treatment of verrucous carcinoma. [7] Prevention Primary preventive measures available for verrucous carcinoma, include: [7] Avoid chewing tobacco Once diagnosed and successfully [wikidoc.org]
[…] anogenital area or foot, consideration must be given to the diagnosis in other anatomical areas diagnosis can be difficult even on histological examination histological confirmation of breast carcinoma, even in apparently clear-cut cases, is essential to prevent [pmj.bmj.com]
Postoperative Radiation Therapy (IMRT) +/- Cetuximab for Locally-Advanced Resected Head and Neck Cancer Active, not recruiting NCT00956007 Phase 3 14 A Phase III, Randomized, Double-Blind Study of Lactobacillus Brevis CD2 Lozenges Versus Placebo in the Prevention [malacards.org]
Improved oral, genital, and perianal hygiene may help to prevent inflammatory conditions that predispose patients to verrucous carcinoma. Cessation of chewing tobacco use may help to prevent oral verrucous carcinoma. [emedicine.medscape.com]
When diagnosed early, surgical excision can prevent morbidity and disability in these patients. [journal.sajc.org]