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LIP, FACE, VESTIBULE

LIP, FACE, VESTIBULE. David E. Wojtowicz, DDS, MBA. WHITE RED ULCER. EXOPHY-TIC DEVELOP-MENTAL. LIP. LIP WHITE. Candidiasis Squamous Cell Carcinoma Actinic Cheilitis Smoker’s Keratosis. LIP RED & PIGMENTED. Angular Cheilitis (= Perleche) Candidiasis @ Commissure Hemangioma

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LIP, FACE, VESTIBULE

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  1. LIP, FACE, VESTIBULE David E. Wojtowicz, DDS, MBA

  2. WHITE RED ULCER EXOPHY-TIC DEVELOP-MENTAL LIP

  3. LIPWHITE • Candidiasis • Squamous Cell Carcinoma • Actinic Cheilitis • Smoker’s Keratosis

  4. LIPRED & PIGMENTED • Angular Cheilitis (= Perleche) • Candidiasis @ Commissure • Hemangioma • Labial Melanotic Macule (=Ephelis)

  5. LIP ULCERS • Traumatic • Herpetic • Erythema Multiforme • Hypersensitivity (Herpes, Sulfa) Reaction of Skin (Bull’s Eye) and Mucosa (Ulceration)

  6. LIP EXOPHYTIC / ELEVATED • Fibroma • Papilloma • Mucocele • Angioedema

  7. LIPDEVELOPMENTAL • Commisural Lip Pit

  8. BUCCAL AND LABIALVESTIBULE • White • Red • Ulcer • Anatomy

  9. Linea Alba Cheek Bite Snuff Dipper’s Aspirin Burn Leukoedema White Sponge Nevus Lichen Planus SCC Fordyce’s Granules VESTIBULEWHITE

  10. Linea Alba Cheek Bite Snuff Dipper’s Aspirin Burn Leukoedema White Sponge Nevus Lichen Planus SCC Fordyce’s Granules VESTIBULE WHITE

  11. VESTIBULEEXOPHYTIC • Stensen’s Papilla • Parulis

  12. VESTIBULERED / PIGMENTED • Erosive Lichen Planus • Amalgam Tattoo

  13. VESTIBULEULCER • Apthous • Traumatic

  14. Actinic Keratosis S C C Keratoacanthoma Basal C C Systemic Lupus Rosacea Herpes Zoster Nevus Melanoma Neurofibroma DERMATOLOGIC LESIONS • Seborrheic Keratosis • Senile Sebaceous Hyperplasia • Trichoepithelioma • Syringoma • Sebaceous Cyst • Epidermal Cyst

  15. Actinic Keratosis S C C Keratoacanthoma Basal C C Seborrheic Keratosis Sebaceous Hyperplasia Trichoepithelioma Syringoma Sebaceous Cyst Epidermoid Cyst Milia Systemic Lupus Rosacea Herpes Zoster Nevus Melanoma Neurofibroma DERMATOLOGIC LESIONS LIST

  16. ACTINIC KERATOSIS • Sun Damaged Skin • Scaling, Kertotic, & Erythematous • Appears Gray to Deep Brown • Premalignant

  17. S C C • Resembles B C C • Enlarging Ulceration • Central Crust • Indurated Base • Regional & Distant Metastasis • M > F

  18. KERATOACANTHOMA • Resembles S C C • “Self Healing Carcinoma” • Pink Dome > Keratin Plug > Crater >Healing • May Exhibit Aggressive Destruction of Tissue

  19. BASAL C C • Nodulo Ulcerative: Translucent Papule >Enlarges Slowly > Central Depression >Firm Border >Ulcerates • Men >40

  20. SEBORRHEICKERATOSIS • Elevated, Verrucous • Brown, Black, Greasy • “Stuck On” • Older Individuals

  21. SEBACEOUSHYPERPLASIA • Elevated • Soft • Flesh or Yellow Color • Central Punctum • Forehead • Middle Age

  22. TRICHOEPITHELIOMA • Hair Follicle Lesion on Upper Face • Flesh-Colored Papule • Dome-Shaped • Adjacent to Nose

  23. SYRINGOMA • Multiple Papules • Pebble Like • Flesh or Yellow Color • Upper & Lower Eyelids • Adenoma of Sweat Ducts • Onset in Adolescence

  24. SEBACEOUS CYST • Dome Shaped • Superficial • Hair Bearing Area • Slow Growing • Surgical Removal

  25. EPIDERMOID CYST • Follicular Cyst (Hair Follicle) • Elevated, Firm • Central Pore • Thick Keratinous Contents • Slow Growing • 0.2 - 5 cm

  26. MILIA • Tiny Epidermoid Cysts (1 - 2 mm) • Contains Keratin • Around Eyes

  27. SYSTEMIC LUPUS • Butterfly Rash

  28. ROSACEA • Erythema of “Flush Area” • Chronic Acne • Mimics Lupus • F > M, 20 to 60 Years

  29. HERPES ZOSTER • Vesicles > Erythema > Crust • Unilateral Distribution Along Innervation

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