Introduction: Verrucous carcinoma (VC) is an epitelial malignant tumour that can occur in skin and mucosa. The etiopathogenesis of this entity remains unclear although tobacco (smokable and chewed), alcohol, virus and oral sepsis have been mentioned as possible risk factors. It is considered to be a slow growing tumour with local agressiveness, being exceptional reports of regional or distant metastasis. The most common morphological presentation is as an exophytic or verrucous lesion with a whitish coloration. Buccal mucosa, gingiva and tongue are the most frecuently affected oral sites. The development of hybrid carcinomas (SCC+VC) does not seem to be an exceptional finding.

Materials and methods: A case report will be described and with a literature review will illustrate the main characteristics of this tumour.

Conclusion: VC might be considered as a unique entity; although it can be combined with SCC in the case of hybrid carcinoma. T-stage does not seem to have great impact as a prognosis factor whereas clinically positive necks generally correspond to inflammatory nodes. Surgery alone remains to be the most effective treatment for VC.