MedRead Journal of Family Medicine

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Lower lip squamous cell carcinoma: clinical and dermoscopic features

*Haidar Maojil
Departement Of Otolarygology, Hassan II Hospital University, Morocco

*Corresponding Author:
Haidar Maojil
Departement Of Otolarygology, Hassan II Hospital University, Morocco

Published on: 2020-03-30

Abstract

Squamous Cell Carcinoma (SCC) of the lip accounts for 12% of all cancers in the head and neck region. Dermoscopic characteristics of cutaneous epidermoid carcinoma (SCC) have been well described; however, there are a few studies examining the dermoscopic appearance of SCC of the lips. We report à 70-year-old patient, with chronic solar photo exposure, who presents an s quamous cell carcinoma of the lower lip evolving for 2 years, with a description of the dermoscopic characteristics.

Keywords

Squamous Cell Carcinoma; Lower Lip; Dermoscopy

Case Presentation

A 70-year-old patient, agricultural by profession, with chronic solar photo exposure. Who presents an ulcerative budding tumor, evolving for 2 years, malignant on contact, not painful. On clinical examination, a 3cm tumor occupying the left half of the lower lip, extended to the cutaneous side and reaching the end buccal side with an exophytic appearance. The base is infiltrated, well limited, and with irregular contours. The surface is budding with keratin (Figure 1). In dermoscopy we have a milky red structureless background, a polymorphic vascular model with loop and hairpin look white structureless background, keratin and ulceration.

Squamous Cell Carcinoma (SCC) of the lip accounts for 12% of all cancers in the head and neck region. The lower lip location is the most frequent, which presents 25% of all cancers of the oral cavity. Dermoscopy is a non-invasive diagnostic method used to improve the early diagnosis of many skin tumors. The dermoscopic characteristics of cutaneous epidermoid carcinoma (SCC) have been well described; however, there are a few studies examining the dermoscopic appearance of SCC of the lips [1].

In the literature, what has been mentioned is the existence of white and milky red structureless areas, blood spots on thick keratin scale, and polymorphous vascular pattern, which are the main dermoscopic clues to lip SCC. The presence of these findings should direct the clinician to the possibility of SCC [1]. It was also reported that dermoscopic results observed may also reflect the histological grade of the lesion.

The interface of our case is to identify the dermoscopic characteristics and to compare them with those reported in the literature.

Conflicts of interest: The author declares that there is no conflict of interest.   


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Figure 1: Exophytic tumor localized on the lower lip of a male patient..

 


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Figure 1: Milky red structureless background, a polymorphic vascular model with loop and hairpin look white structureless background, keratin and ulceration.

 

References

1. Elmas, et al. Dermoscopy of lip squamous cell carcinoma 2019 Indian Dermatology Online Journal doi: 10.4103/idoj.IDOJ_435_18.