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Actinic cheilitis is cheilitis (lip inflammation) caused by long term sunlight exposure. Essentially it is a burn, [2] and a variant of actinic keratosis which occurs on the lip. [5] It is a premalignant condition, [6] as it can develop into squamous cell carcinoma (a type of mouth cancer).
Oral cancer (squamous cell carcinoma) is usually treated with surgery alone, or in combination with adjunctive therapy, including radiation, with or without chemotherapy. [45]: 602 With small lesions (T1), surgery or radiation have similar control rates, so the decision about which to use is based on functional outcome, and complication rates.
There is a risk of metastasis starting more than 10 years [citation needed] after diagnosable appearance of squamous-cell carcinoma, but the risk is low, [specify] though much [specify] higher than with basal-cell carcinoma. Squamous-cell cancers of the lip and ears have high rates of local recurrence and distant metastasis. [27]
small-cell keratinizing squamous-cell carcinoma (code 8073/3) spindle-cell squamous-cell carcinoma (code 8074/3) It is also known as spindle-cell carcinoma, [23] and is a subtype characterized by spindle-shaped atypical cells. [24] adenoid/pseudoglandular squamous-cell carcinoma (code 8075/3) intraepidermal squamous-cell carcinoma (code 8081/3)
Small defects of the upper and lower lip can be closed primarily. For the upper lip, defects of up to 1/4 (25%) of the lip may be closed primarily. For the lower lip, defects of up to 1/3 of the lip may be closed primarily. This means the edges of the defect are simply sutured together in three layers: oral mucosa, muscle, and skin.
Squamous cell carcinoma of the mouth Oral cancer affects the areas of the mouth, including the inner lip, tongue , floor of the mouth , gums , and hard palate . Cancers of the mouth are strongly associated with tobacco use, especially the use of chewing tobacco or dipping tobacco , as well as heavy alcohol use.
Basal-cell carcinoma (BCC), also known as basal-cell cancer, basalioma [7] or rodent ulcer, [8] is the most common type of skin cancer. [2] It often appears as a painless raised area of skin, which may be shiny with small blood vessels running over it. [1] It may also present as a raised area with ulceration. [1]
The chance of cancer formation depends on the type, with between 3–15% of localized leukoplakia and 70–100% of proliferative leukoplakia developing into squamous cell carcinoma. [4] Leukoplakia is a descriptive term that should only be applied after other possible causes are ruled out. [6]
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