Diagnosis Of Actinic Cheilitis Research Articles

KERATINIZED SQUAMOUS CELL CARCINOMA CLINICALLY PRESENTING AS ACTINIC CHEILITIS

Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation and warrants special attention because its malignant transformation rate varies from 10% to 20%. A 59-year-old male patient sought out a stomatology service with a lip wound. He reported being a smoker and alcoholic and working under sun exposure. Extrabuccal examination revealed dryness of the lower lip and leucoerythroblastic and ulcer lesions measuring 1.3 × 0.6 cm in total area. The clinical diagnosis of actinic cheilitis and differential leukoerythroplasia. There were no lesions in the mouth. An incisional biopsy was performed, and the histopathologic result was keratinized squamous cell carcinoma. The patient was referred for surgical treatment. This report is relevant because it shows how early diagnosis can optimize treatment and substantially improve the patient’s life.

Vermilionectomy for Diagnosis and Treatment of Actinic Cheilits: a Case Report

Actinic cheilitis, a common premalignant alteration of the vermilion of the lower lip, results from excessive, progressive exposure to the ultraviolet spectrum of sunlight, and presents a predilection for males above 45 years of age. The case report is of a 60-year-old male patient with leukoderma, presenting with a soft tissue lesion in the lower lip; the lesion had elastic consistency, ellipsoid form, and whitish coloration. A vermilionectomy was performed, and the obtained material, measuring 6.4 cm, was sent for histopathologic analysis; a diagnosis of actinic cheilitis with moderate dysplasia was made. After 8 months of follow-up, there was no relapse.

Actinic cheilitis with a familial pattern: An unusual case

Actinic cheilitis is a chronic inflammatory disorder of the lip, affecting the lower lip mainly, caused by cumulative long-term effects of ultraviolet (UV) radiation in sunlight. It is a premalignant condition with a malignancy potential of 6-10%. It is reported that it almost exclusively occurs in fair-skinned people and those who work outdoors. However, it has recently been reported that actinic cheilitis is not exclusive to fair-skinned people. It is most common in middle-aged or older male patients. Diagnosis of actinic cheilitis is mainly based on demographical, clinical, and histopathological findings. Factors such as socioeconomic status, smoking, dietary habits, and genetic predisposition are also associated with lip cancer. Here, we present a case of actinic cheilitis in two siblings and in their mother, showing a familial pattern. An incisional biopsy of the lower lip in the mother showed severe dysplastic changes indicating transformation to squamous cell carcinoma.

P96 The impact of a Brazilian oral cancer prevention programme on the diagnosis of actinic cheilitis

P96 The impact of a Brazilian oral cancer prevention programme on the diagnosis of actinic cheilitis