VERRUCOUS CARCINOMA ACKERMAN — ORAL FLORID PAPILLOMATOSIS. CASE PRESENTATION

Abstract

Verrucous carcinoma is a well differentiated type of squamous cells carcinoma, which may interest both the skin and mucous membranes. It is characterized by local invasion with minimal dysplasia and has a reduced metastatic potential. Clinical case. We present the case of an 80-year-old rural patient with verrucous carcinoma, with the objective to highlight the clinical-evolutionary, histopathological and therapeutic aspects of this disorder. The treatment was hemivermillonectomy, and the post-surgical development was favorable. Discussions. Ackerman's verrucous carcinoma is also known as oral florid papillomatosis, a term created by Rock and Fisher in 1960. Wechsler and Fisher have highlighted the aggressive but clinically benign local nature of the disease by using the term ”oral florid papillomatosis”. Oral verrucous carcinoma may extend to underlying tissue and regional lymph nodes. Therapy for oral verrucous carcinoma is a challenge, because recurrences and anaplastic transformation are frequent after radiotherapy. Surgical treatment is superior, but radiotherapy is generally considered to be a last resort. Conclusion. Patients with verrucous carcinoma should be closely monitored, as they may develop second cancer, an aggressive epidermoid carcinoma, or anaplastic transformation of a pre-existing verrucous carcinoma. https://doi.org/10.26574/rojced.2018.5.1.26