title: Ackerman's Tumour - A Case Report.
abstract: Ackerman's tumour or Verrucous Carcinoma (VC) is a distinct form of Squamous Cell Carcinoma (SCC). It is predominantly seen in elderly men and strongly associated with the use of tobacco. In oral cavity it occurs predominantly in buccal mucosa followed by gingiva, palate and floor of the mouth. Clinically it manifests as proliferative finger like projections resembling a cauliflower which is characteristic of its diagnosis. Histologically, papillary or verruciform surface and parakeratin plugs between the surface projections are seen with an intense infiltrate of chronic inflammatory cells in the connective tissue thus it requires enormous expertize for diagnosis. Although VC is illustrated as a benign lesion with minimum aggressive potential over a period of time it can evolve into SCC. Hence most appropriate management of Ackerman's tumour is early diagnosis and surgical excision of the lesion. With this above background, we hereby report an enticing case of verrucous carcinoma in a left retromolar trigone extending into lower alveolar ridge in a 52-year-old male patient.
authors.affiliation: Post Graduate Student, Department of Oral Medicine and Radiology, Rajarajeswari Dental College and Hospital , Bangalore, Karnataka, India .
authors.forename: Sushma
authors.initials: S
authors.lastname: Pulivarthi
authors.affiliation: Professor and Head, Department of Oral Medicine and Radiology, Rajarajeswari Dental College and Hospital , Bangalore, Karnataka, India .
authors.forename: Balaji
authors.initials: B
authors.lastname: Pachipulusu
authors.affiliation: Reader, Department of Oral Medicine and Radiology, Rajarajeswari Dental College and Hospital , Bangalore, Karnataka, India .
authors.forename: Sowbhagya Basavaraju
authors.initials: SB
authors.lastname: Malligere
authors.affiliation: Reader, Department of Oral Medicine and Radiology, Rajarajeswari Dental College and Hospital , Bangalore, Karnataka, India .
authors.forename: Poornima
authors.initials: P
authors.lastname: Govindraju
authors.affiliation: Senior Lecturer, Department of Oral Medicine and Radiology, Rajarajeswari Dental College and Hospital , Bangalore, Karnataka, India .
authors.forename: Mahesh Kumar
authors.initials: MK
authors.lastname: T S
keywords: Para keratin plugs; Proliferative papillary like projections; Squamous cell carcinoma; Verrucous carcinoma