• CDC
  • Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Screening
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

Verruca Vulgaris

Article

Given this patient's history, this wart might have been over-treated as a presumed squamous cell carcinoma had not a biopsy been obtained.



A 74-year-old man sought medical attention for a lesion on his right arm, near the elbow. His medical history included many actinic keratoses, multiple non-melanoma skin cancers, and a malignant melanoma.

Key point: A 2 x 2-cm, non-tender, rock hard nodule was found on the posteromedial aspect of the right arm. The surface was covered by a thick, yellow keratin layer. The clinical suspicion was squamous cell carcinoma, but a deep punch biopsy disclosed only verruca vulgaris.

Treatment: Treatment consisted of sharp curettage followed by electrodesiccation. The curettage material verified the benign diagnosis.

Note: A biopsy is more often than not indicated, before definitive treatment is entertained, to determine the correct diagnosis. This lesion might have been over-treated as a presumed squamous cell carcinoma had not a biopsy been obtained.

Related Content
© 2024 MJH Life Sciences

All rights reserved.