Diagnosis of actinic cheilitis in dysfunctional patient: case report
DOI:
https://doi.org/10.21270/archi.v10i8.5106Keywords:
Temporomandibular Joint Disorders, Cheilitis, Early DiagnognosisAbstract
Actinic cheilitis (AC) is a common lesion of the lower lip caused mainly by exposure with high or chronic frequency to solar radiation. It is considered a cancerizable lesion, where the early diagnosis by the professional is extremely important for the good prognosis of the case since the AC is often the precursor lesion of the squamous cell carcinoma of the lower lip. In the health area, it is important to perform an integral care of the patient, creating an intersection between his main complaint and the needs he presents so that the general health can be reestablished. This study aims to present a clinical case of a male patient, 38 years old, who sought dental service for the treatment of a temporomandibular disorder but that to his care integralized was perceived the presence of a lesion Lingual belly and a leucoplastic macula in lower lip redness. There was indication for excisional biopsy of the nodular lesion and incisional biopsy for the leucoplastic lesion. After the diagnosis of traumatic neuroma in the tongue and actinic cheilitis in the lower lip, with histopathological confirmation, a simple excisional biopsy was performed. After removal of the lesion, the patient returned for suture removal and for proservation of the case, where he presented good recovery.
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References
Andrade J, Santos CA, Oliveira MP. Fatores associados ao câncer de boca: um estudo de caso-controle em uma população do Nordeste do Brasil. Rev bras epidemiol. 2015;18(4):894-905.
Hashibe M, Brennan P, Chuang SC, Boccia S, Castellsague X, Chen C, et al. Interaction between tobacco and alcohol use and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Cancer Epidemiol Biomarkers Prev. 2009;18(2):541-50.
Instituto Nacional do Câncer – INCA. Tipos de Câncer: Boca. [Citado em 2019 mar 29]. Disponível em: http://www2.inca.gov.br/wps /wcm/connect/ tiposdecancer/site/home/ boca
Salles JMP, Freire ARS, Vicenjte LCC, editores. Cancer de Boca: Uma visão multidisciplinar. Belo Horizonte: Coopmed; 2007
Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Kosary CL, et al. SEER Cancer Statistics Review, 1975-2014, National Cancer Institute. Bethesda, MD. Disponível em https://seer.cancer.gov/csr/1975_2014/
Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Elser S, Mathers C, et al. GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. IARC Cancer Base.2012;1:11.
Gomes JO, Carvalho MV, Fonseca FP, Gondak RO, Lopes MA, Vargas PA. CD1a+ and CD83 + Langerhans cells are reduced in lower lip squamous cell carcinoma. J Oral Pathol Med. 2016;45(6):433-39.
Jadotte YT, Schwarts RA. Solar cheilosis: an ominious precursos partI. Diagnostic insights. J Am Acad Dermatol. 2012;66:173-84
Schalka S, Steiner D, Ravelli FN, et al. Brazilian consensus on photoprotection. An Bras Dermatol. 2014;89(6):1-74.
Mello FW, Melo G, Modolo F, Rivero ERC. Actinic cheillitis and lip squamoues cell carcinoma: Literature review and new data from Brazil. J Clin Exp Dent. 2019;11(1): 62-9
Markopoulos A, Albanidou-Farmaki E, Kayavis I. Actinic cheilitis: clinical and pathologic characteristics in 65 cases. Oral Dis.2004;10:212‐16.
Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa.J Oral Pathol Med. 2007;36(10):575‐80.
Cavalcante ASR, Anbinder AL, Carvalho YR. Actinic cheilitis: clinical and histological features. J Oral Maxillofac Surg. 2008;66(3):498‐503.
Cohen JL. Erbium laser resurfacting for actinic cheiliti. J Drugs Dermatol.2013;12(11):1290-92.
Neville BW, Damm DD, Allen CM, Bouquout JE. Oral and Maxillofacial Pathology, 3. ed. Philadelphia: Saunders; 2009.
El-Naggar AK, Chan J, Takata T, Grandis J, Blootweg P. WHO Classification of Tumors, Pathology and Genetic of Head and Neck Tumors, 4.ed. Lyon, France: IARC Press; 2017
Mehanna HM, Rattay T, Smith J, McConkey CC. Treatment and follow upo f oral dysplasia – a systematic review and meta-analysis.Head Neck. 2009.31(12):1600-9 .
Lopes ML, Silva Júnior FL, Lima KC, Oliveira PT, Silveira E. Clinicopathological profile and management of 161 cases of actinic cheilitis. An Bras Dermatol. 2015;90(4):505-12
Savage NW, McKay C, Faulkner C. Actinic cheilitis in dental practice. Aust Dent. J. 2010; 55(Suppl 1):78-84
Murphy CT, Galloway TJ, Handorf A, Egleston BL, Wang LS, Mehra R et al. Survival impact of increasing time to treatment initiation for patients with head and neck cancer in the United States. J Clin Oncol. 2016. 34(2):169-78
Choi SH, Kim KH, Song KH. Efficacy of ablative fractionallaser-assisted photodynamic therapy for the treatment of actinic cheilitis: 12-month follow-up results of a prospective, randomized, comparative trial. Br J Dermatol. 2015;173(1): 184-91.
Suárez-Pérez JA, López-Navarro N, Herrera-Acosta E, Aguilera J, Gallego E, Bosch R et al. Treatment of actinic cheilitis with methyl aminolevulinate photodynamic therapy andlight fractionation: A prospective study of 10 patients. Eur J Dermatol. 2015;25(6):623-24.
Castiñeiras I, Del Pozo J, Mazaira M, Rodríguez-Lojo R, Fonseca E. Actinic cheilitis: Evolution to squamous cell carcinoma after carbon dioxide laser vaporization. A study of 43 cases. J Dermatol Treat. 2010;21(1):49–53
Satorres Nieto M, Gargallo Albiol J, Gay Escoda C. Surgical management of actinic cheilitis. Med Oral. 2001;6(3):205-17.
Vilella GM. Queilite Actinica – Revisão de literatura [monografia]. Belo Horizonte:UFMG; 2011.
