Verrucous plaque on the lip in a young man

A man in his 40s with Fitzpatrick type IV skin phototype, agriculturist by occupation, presented with an asymptomatic, gradually enlarging growth on his lower lip for the past 1 year.He was not a smoker and did not have any past or family history of skin cancers.Examination revealed an ill-defined pinkish plaque, about 1 × 1.5 cm with round keratinous papillary projections and marginal scaling [Figure 1].Histopathology showed hyperkeratosis, acanthosis, and focal areas of keratinocytic dysplasia, predominantly in the basal region.Upper dermis showed an inflammatory mononuclear infiltrate [Figures 2 and 3].https://jcasonline.com/