Verrucous carcinoma is an Unusual Indolent and Deceptive variant of well differenciated squamous cell carcinoma [1] that can be confused with a benign process. Verrucous carcinoma is most commonly seen in elderly male [2] smokers. In all likelyhood no other neoplasm of larynx calls for co-operation between a surgeon and pathologist as much as in the diagnosis of verrucous carcinoma as it is particularly deceptive. The lesion is very difficult to diagnose clinically and histopathologically from a well differenciated squamous cell carcinoma. Although curable at an early stage, leaving it untreated leads to local aggressiveness and calls for a green eyed early detection followed by early surgical intervention to give good results. Keeping in mind that each case is a generative source of ideas for medical and surgical inventions we worked up our case. Our case was diagnosed and treated early thus evading a need for tracheostomy and its consequences. A 53y old male who was a known smoker (40 pack years) who presented with hoarseness of voice of one month duration. Videolaryngoscopy revealed a proliferative growth involving the anterior commissure and anterior 2/3rd of the left vocal cord. Histopathology showed features suggestive of verrucous carcinoma larynx. Microlaryngeal surgery was done and the mass was excised in toto. Post-op period was uneventful with no recurrence till date.

Keywords: Verrucous Carcinoma; Ackermans Tumour; Laryngel Squamous Cell Carcinoma; Uncommon Variant of Squamous Cell Carcinoma.