Hello all,

I am new to this forum. I was just diagnosed on 6/16 with verrucous carcinoma and hoping you can help me on understanding the results of the biopsy and advise me if you believe my ENT is correct.

Here is my story. I found a small growth on the bottom of my tongue around towards the back the 2nd week of May. Went to the dentist the 3rd week of May. He said it looked like a papillomia virus but was 97-98 sure it was not cancer and not urgent but I may wish to get it removed. Went to the oral surgeon on June 11th and he said the same thing. I said let's get it out now so he numbed me and cut it out and sent it for biopsy.
Pathology report came back as verrucous carcinoma. A cancer that from what I can find is very rare especially for a woman. I am finding it hard to find much specific information to this type of cancer in a non-smoking, moderate drinking woman.
Clinical impression was squamous papillomia.
The lesion was nonulcerated and measured 1x.04 cm and is corrugated.
Microscopic description:
Stratified squamous epithielium overlying fibromuscular tissue. The epithelium revevles hyperparakeratosis with a papillary configuration accompanied by broad and confluent rete ridges and parakertin crypt formation. A mile transmigration is noted within the lower layers of stratum spinosun. The connective tissue demonstrated a chronic inflammatory infiltrate.
Gross description:
An irregular fragment of tan-mink mucosa measuring 1.2 x 0.5 x 0.3. The specimen is friable.
Note- The neoplasm extends to the margins of the sections.

I guess they didn't check the type of HVP virus.The ENT that I went to suggested that we just go back in and cut a bit more out. Do it in the hospital so they can check the pathology right there and see if he needs to take more. I requested that we do a PET scan 1st so in case it was anywhere else we wouldn't have to back in again. PET came back showing no other cancer and a mild uptake in that same spot where we are going back in. I am scheduled next week to have the additional tissue removed.
I asked him about radiation or chemo and he said not necessary and I also asked if I needed to see an oncologist. He said no.

I would appreciate any information you think may be helpful. Thank you.