Abstract
Verrucous carcinoma (VC) is a low-grade variant of squamous cell carcinoma (SCC). It presents as a cauliflower-like growth with warty surface projections. VC can appear both extraorally and intraorally. We report a case of a 73-year-old female who presented with an exophytic, verrucopapillary lesion on the left lateral border of her tongue. Her symptoms included difficulty with speech and discomfort while eating. Clinical and histopathological findings rendered a diagnosis of oral verrucous carcinoma (OVC). OVC shares a clinical resemblance to several other papillary lesions. Thus, timely and accurate diagnosis is essential as OVC carries the potential for transformation into SCC.