Lips squamous cell carcinoma caused by smoking
A mediterranean caucasian patient, 75 years old, with skin Phototype IV-V, refered for an ulcerated and vegetating nodule of the lower lip which started with a small ulceration with no tendancy to healing. Inflitraion is felt under the lesion and beyond it. patient was a heavy smoker. Biopsy confirms the diagnosis of squamous cell carcinoma.
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