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April 2008: Single deep ulcer lower lip

Dolphine Oda, BDS, MSc
doda@u.washington.edu

Contributed by
Dr. Charles R. Weber
South Sound Oral Surgery, Olympia and Centralia, Washington

Case Summary and Diagnostic Information

This is a 64-year old white male who was referred with a two-year history of right lower lip lesion which was slowly enlarging.  At presentation, this lesion was red and ulcerated (Figure 1) and was firm but not painful.  It was 1.5 X 1.5 cm in greatest dimensions.  The patient gives a 30 plus year history of smoking and indicates that “the ulcer is right where I hold my cigarette”.  There was no evidence of lymphadenopathy.  An incisional biopsy was performed and submitted for histologic evaluation. 

Diagnostic Information Available

History of Present Illness

Medical History

Clinical and Radiographic Findings

Excisional Biopsy

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