血管腫が疑われた光線性口唇炎の1例

概要

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It is well known that long-time exposure to the sun harms the DNA of keratinocytes of the skin and causes solar keratosis and squamous cell carcinoma. The lower lip is subject to sun exposure. Dysplastic growth of the epithelium with inflammation and focal elastosis of the lips in response to ultraviolet light is called actinic cheilitis. We report a case of actinic cheilitis clinically suspected to be hemangioma. A 79-year-old woman was referred to Nagasaki University Hospital to examine a mass arising in the right side of the lower lip. A soft darkpurple mass was observed and clinically diagnosed as hemangioma. Since the patient wanted to undergo histological examination of the lesion with minimal esthetic disturbance, excision of the lesion and reconstruction with a local flap were performed under general anesthesia. The lesion was histologically diagnosed as actinic cheilitis.The postoperative course was uneventful, and there has been no esthetic or functional disturbance as of 2 years after the operation.
Japanese Society of Oral and Maxillofacial Surgeonsの論文