Ackerman's Tumour - A Case Report

Abstract

First described in 1948 by Ackerman, Verrucous carcinoma is a distinct form of Squamous Cell Carcinoma. It is an unusual and non-metastasizing tumour with a tendency for local invasion in comparison to squamous cell carcinoma. The most common site of occurrence is the buccal mucosa, followed by the mandibular alveolar ridge and gingiva. Slowly growing. well differentiated, verrucous in character, and often extensive, this neoplasm tends to invade local structures like mandible, soft tissues and antrum. Treatment of verrucous carcinoma is challenging; multiple medical and surgical therapies are often attempted with limited success.

For extensive lesions, radical surgery is indicated and often when fixation, or invasion of bone is present, mandibular resection with upper neck dissection is justified.