Skin deep: Warts and all

Sometimes a lesion looks like a wart but just does not behave like one. This ‘wart’ was frozen twice when it was much smaller but it recurred. The next time it was shaved off and the base was cauterised. 

The histology report showed invasive SCC. Within three weeks it was back again to this size. Again it was shaved for cosmetic reasons while the patient waited for definitive wedge excision surgery of her lip.

This time the histology came back as verrucous carcinoma, a usually slow growing papillomavirus-induced cancer seen