Verrucous carcinoma-an enigmatic entity

Verrucous carcinoma continues to be an enigmatic entity in the realms of maxillofacial pathology. It is a rare variant of well differentiated squamous cell carcinoma and has some unique characteristics clinically and histologically different from a typical oral squamous cell carcinoma. Verrucous carcinoma grows gradually, has a tendency of local invasion, and seldom metastasizes. Here we have reported 2 cases of verrucous carcinoma, in which surgical excision with wide normal margins was done. Pre-operative and postoperative biopsy results were compared and patients were followed up for maximum possible period. There was neither local recurrence nor distant metastasis observed. So, it is advised that surgical resection with sufficient safety margins should be done in such cases.