DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.035

Pages: 1012-1015c

Verrucous carcinoma is a rare, well-differentiated variant of squamous cell carcinoma characterized by slow growth, local aggressiveness, and a low propensity for metastasis. Its occurrence in the brow tail region is very uncommon, posing diagnostic and therapeutic challenges due to the anatomical and cosmetic significance of the area. We present a case of verrucous carcinoma arising in the lateral eyebrow (brow tail) of an 81 years old patient, highlighting clinical presentation, histopathological features, surgical management, and postoperative outcomes. The patient presented with a progressively enlarging, exophytic lesion over several months, initially misdiagnosed as a benign wart-like growth. Dermoscopic and clinical findings raised suspicion, and a biopsy confirmed verrucous carcinoma. Imaging studies revealed no evidence of regional or distant spread. The lesion was treated with wide local excision, ensuring adequate margins while preserving adjacent functional and aesthetic structures. Reconstruction was performed using a thick skin graft tailored to the brow contour. Histopathological examination of the excised specimen confirmed clear margins. The postoperative course was uneventful, with satisfactory wound healing and preservation of brow symmetry. At follow-up, no recurrence or functional impairment was observed. This case underscores the importance of early recognition and biopsy of atypical verrucous lesions in cosmetically sensitive regions. Complete surgical excision remains the gold standard for treatment, with careful planning required to optimize both oncologic control and aesthetic outcomes. Increased awareness among clinicians can help prevent delays in diagnosis and reduce the risk of local tissue destruction associated with this uncommon malignancy.