Oral cavity: verrucous carcinoma: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Oral cavity: verrucous carcinoma

Sample item

A tobacco chewer has a slow-growing, exophytic, warty white lesion of the buccal mucosa with a broad pushing base and no nodal disease. Biopsy shows well-differentiated squamous epithelium. What is it called?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Verrucous carcinoma (Ackerman's tumour)

Verrucous carcinoma is a low-grade variant of squamous carcinoma with a pushing border, rarely metastasising. Wide local excision is the treatment, and radiotherapy is avoided as it may cause anaplastic transformation.

Option by option

  • A. Spindle cell carcinoma

    Spindle cell carcinoma is a sarcomatoid variant.

  • B. Adenoid squamous carcinoma

    Adenoid squamous carcinoma is rare and aggressive.

  • C. Basaloid carcinoma

    Basaloid carcinoma is an aggressive variant.

  • D. Verrucous carcinoma (Ackerman's tumour) (correct)

    Correct. Verrucous carcinoma matches the description.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Verrucous carcinoma (Ackerman's tumour). Verrucous carcinoma is a low-grade variant of squamous carcinoma with a pushing border, rarely metastasising.

Why is "Spindle cell carcinoma" not the answer?

Spindle cell carcinoma is a sarcomatoid variant.

Why is "Adenoid squamous carcinoma" not the answer?

Adenoid squamous carcinoma is rare and aggressive.

Why is "Basaloid carcinoma" not the answer?

Basaloid carcinoma is an aggressive variant.

What concept does this question test?

It tests Oral cavity: verrucous carcinoma in ENT. Wide local excision is the treatment, and radiotherapy is avoided as it may cause anaplastic transformation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral cavity: verrucous carcinoma?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.