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Uncommon Occurrence of Lip Squamous Cell Carcinoma in a Pediatric Patient

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Although head and neck squamous cell carcinoma represents one of the most common cancers among adults, it is rare in pediatric patients. The purpose of this report is to discuss the case of a 15-year-old male patient referred by his dentist due to a three-month old ulcer in his lower lip. The patient denied tobacco smoking and drinking alcohol, and confirmed that he performed manual labor in a brick yard, being exposed daily to the sun without protection. Clinical examination revealed an exophytic rounded ulcer in the right lower lip, measuring 1.5 cm, with a flaky bed. An incisional biopsy was performed, and histopathologic analysis confirmed the diagnosis of squamous cell carcinoma. The treatment of choice was surgical excision. Malignancy should be included in the differential diagnosis of chronic oral ulcers in children and adolescents. Moreover, chronic sun exposure might be associated with occurrence of lip squamous cell carcinoma.
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Keywords: LIP NEOPLASMS; ORAL NEOPLASMS; PEDIATRIC DENTISTRY

Document Type: Case Report

Affiliations: 1: Postgraduate student, at the Oral Oncology Center, Araçatuba Dental School, São Paulo State University – UNESP, Araçatuba, in the State of São Paulo, Brazil;, Email: [email protected] 2: Postgraduate student, at the Oral Oncology Center, Araçatuba Dental School, São Paulo State University – UNESP, Araçatuba, in the State of São Paulo, Brazil 3: Assistant professor, Department of Pathology, School of Medicine, School of Dentistry, at the University of Brasil, Fernandópolis, in the State of São Paulo, Brazil 4: Oncologist, Department of Oncologic Surgery, Santa Casa de Misericórdia de São José do Rio Preto Hospital, São José do Rio Preto, in the State of São Paulo, Brazil 5: Professor, at the Oral Oncology Center, Araçatuba Dental School, in the State of São Paulo, Brazil São Paulo State University – UNESP, Araçatuba, in the State of São Paulo, Brazil 6: Assistant professor, Department of Oral Diagnosis, School of Dentistry, at the University of Brasil, Fernandópolis, in the State of São Paulo, Brazil

Publication date: 01 May 2017

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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