Verrucous carcinoma of the nasal septum

A case of verrucous carcinoma of the nose is presented. Initially two pathologists described the lesion as benign. The tumour was excised with free margins through a lateral rhinotomy, with a successful outcome. The literature on the topic has been reviewed. Deep wide-based biopsy should always be considered if such a lesion is not to be missed on the first consultation. Surgery in resectable lesions offers the best chance of survival in verrucous carcinoma of the nose.