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We read with interest the comments made by Drs Brodin and Mehregan regarding our diagnosis of VC in the case cited. Part of the difficulty revolves about the issue of what constitutes the spectrum of VC. Most authors refer to it as SCC, despite its relative lack of anaplasia. However, this is often the case in other types of SCCs such as keratoacanthoma, oral florid papillomatosis, and Buschke-Löwenstein tumors. If a lesion such as VC is thought of as a type of SCC, why cannot a lesion with the histologic characteristics of SCC be referred to as VC if the clinical features are appropriate?As with most disease processes, several factors must be taken into account before making a diagnosis. To exclude this lesion as a case of VC solely on the basis of the degree of cellular pleomorphism may not be useful. Clinically, the lesions in the
Muller SA, Seehafer JR. Verrucous Carcinoma-Reply. Arch Dermatol. 1980;116(9):987. doi:10.1001/archderm.1980.01640330025006