Beyond the Surface: A Case Report of Verrucous Carcinoma in a Young Female

Verrucous carcinoma is a rare, low-grade variant of squamous cell carcinoma, characterised by slow growth and local invasiveness. While typically observed in older individuals, it can also present in younger patients, posing diagnostic challenges. A 30-year-old female presented to the obstetrics and gynaecology department with a three-month history of a foul-smelling, ulcerative perineal mass measuring 15 × 10 cm. Histopathological analysis confirmed the diagnosis of verrucous carcinoma. The patient had significant anaemia and required transfusion therapy prior to surgery. A radical vulvectomy with reconstruction using a myocutaneous flap was performed. The surgical approach involved wide local excision with a 1 cm margin around the tumour, followed by defect reconstruction. Postoperative recovery was uneventful, and histopathological examination confirmed complete excision with clear surgical margins. Verrucous carcinoma of the vulva is rare, particularly in young females, and early recognition is crucial for effective management. This case underscores the importance of accurate diagnosis and timely surgical intervention to ensure optimal outcomes. A multidisciplinary approach and comprehensive care were essential for successful treatment and recovery. Given the tumour's potential for local recurrence, careful long-term follow-up is recommended.