Pure form of Ackermanns tumour of the tongue in a young female patient

Description

A 28-year-old female presented to our outpatient department with a painless, well-circumscribed keratotic, exophytic lesion with broad base over the left lateral aspect of the tongue (figure 1). The lesion had a rough, shaggy, papillomatous surface with sharp finger-like surface projections with no surrounding induration (figure 2). She did not have any habits relevant to history. A biopsy performed at a different centre earlier to her visit here suggested of verrucous hyperplasia. Taking into consideration the history of lesion progression and the gross appearance of the lesion, a strong suspicion of verrucous carcinoma (VC) was made. A wide local excision of the lesion with 1-cm margin was done (figure 3). The histopathology showed a verrucoid lesion lined by hyperkeratotic, acanthotic and focally inflamed stratified squamous epithelium with papillomatosis and broad and fused rete with cells showing mild anisonucleosis, overlying fibrocollagenous stroma with dense...

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