VERRUCOUS CARCINOMA (SNUFF DIPPER’S CANCER; ACKERMAN’S TUMOR): Verrucous carcinoma is a low-grade variant of oral squamous cell carcinoma. In 1948, Ackerman described this lesion in detail, although the term verrucous carcinoma had been used in 1944 in a series of cases reported by Burford, Ackerman, and Robinson. Ackerman postulated that some of these lesions might be associated with smokeless tobacco use, because 11 of his 31 patients were “tobacco chewers.” Verrucous carcinoma is found predominantly in men older than 55 years (average age: 65 to 70 years). In areas where women frequently use dry snuff, however, older females may predominate. The most common sites of oral mucosal involvement include the mandibular vestibule, buccal mucosa, gingiva, tongue, and hard palate. Verrucous carcinoma has a deceptively benign microscopic appearance; it is characterized by wide and elongated rete ridges that appear to “push” into the underlying connective tissue