5. Ulceration and Bleeding: VC’s Aggressive Turn
While Verrucous Carcinoma is often subtle in its initial stages, it’s not always a silent player. In some cases, especially as it advances, it can take a more aggressive turn. One of the manifestations of this aggression is the presence of ulceration and occasional bleeding.
Ulceration, in simple terms, refers to a break in the skin’s surface. It’s not just a raised or thickened patch anymore; it’s an open wound of sorts. This transformation can be attributed to VC’s growth dynamics. As it pushes its boundaries, both outwards and inwards, it might compromise the skin’s structural integrity, leading to these open areas.
Bleeding, on the other hand, is a direct consequence of ulceration. The broken skin can expose underlying blood vessels. Even minor traumas, like a gentle scratch or rub, can cause these exposed vessels to bleed. It’s not just about the visual distress but also about the potential complications that open wounds can bring.
However, it’s crucial to understand the context here. Not every VC lesion will exhibit ulceration or bleeding. It’s more common in advanced stages or particularly aggressive forms. The presence of these symptoms often indicates that VC is not in its nascent phase but has been evolving for a while.
The challenge with ulceration and bleeding is the risk of secondary infections. Open skin is an invitation for pathogens. While VC itself is a formidable adversary, complications arising from infections can further complicate the scenario. It underscores the importance of being vigilant and responsive to our skin’s messages. (5)
