Verrucous carcinoma is a variant of squamous cell carcinoma seen in mucous membranes and skin, and rarely found in the hand. The present report describes a case of two lesions on the dorsum of the hand, with no contact to each other, which underwent en-block resection and were confirmed as verrucous carcinoma.
                                
                                Keywords: Verrucous; Carcinoma; Spiculated; Sea-urchin; Squamous; Hand.