Verrucous lesion mimics- A case series

Abstract

Cutaneous lesions with wart like growth pattern are referred as verrucous lesions. Few lesions clinically look like warts but they are associated with different conditions, pathology, prognosis and treatment. Histopathology plays a very important role in such cases to diagnose the condition. In this article we present 5 different cases, with verrucous morphology. Our first case was a 70 year old man, with verrucous growth over hyperpigmented plaque on left leg. Biopsy showed Squamous cell Carcinoma overlying Lichen Simplex Chronicus. Second case was a 65yr old man with verrucous growth over right thigh diagnosed as well differentiated Squamous cell carcinoma on histopathology. Third case was a 22year old man, with multiple erythematous verroucous growth over left thigh. Biopsy showed syringocystadenoma papilliferum. Fourth case was a 9 year old female, with verrucous lesion over left side of forehead. Biopsy suggested chondroid syringoma. Fifth case was a 25year old female with multiple verrucous lesions over nose, diagnosed as sebaceous hyperplasia. Difficulty in diagnosing verrucous lesions can be resolved with knowledge and awareness of different diseases with verrucous morphology and histopathological examination.