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Dermoscopic Features of Lower Lip Squamous Cell Carcinoma: A Descriptive Study
Ömer Faruk Elmas1, Mahmut Sami Metin2, Asuman Kilitçi3
1Department of Dermatology and Venereology, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey.
Indian Dermatology Online Journal
|September 24, 2019
Summary
Dermoscopy reveals key features for diagnosing lower lip squamous cell carcinoma (SCC). Milky red structureless areas, keratin scale, and polymorphous vascular patterns are significant indicators of lip SCC.
Area of Science:
- Dermatology
- Oncology
- Dermoscopy
Background:
- Cutaneous squamous cell carcinoma (SCC) has well-documented dermoscopic features.
- Limited research exists on the specific dermoscopic aspects of lip SCC.
Purpose of the Study:
- To identify and characterize the dermoscopic findings associated with lower lip SCC.
Main Methods:
- Retrospective evaluation of clinical and histopathologic features.
- Analysis of dermoscopic images and patient demographic data.
- Inclusion of patients with histologically confirmed lip SCC.
Main Results:
- All 10 lesions exhibited milky red structureless background and keratin scale.
- Eight lesions showed blood spots on thick keratin scale.
- Seven lesions presented white structureless areas; two had ulceration.
- Polymorphous vascular pattern was the most common vascular finding (60%).
Conclusions:
- Key dermoscopic clues for lip SCC include white/milky red structureless areas, blood spots on thick keratin scale, and polymorphous vascular pattern.
- These findings can aid clinicians in suspecting SCC.
- Dermoscopic features may correlate with the histological grade of lip SCC.
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