Lauren Morris

Emily Hunt
Whitney Rhodes
Case Study Report
It could not be malignant melanoma because with this there is a rapidly enlarging blue-toblack mass. It looks more like a mole than what the man has. The patients vermillion border is
missing and that is not what happens with malignant melanoma. Even though they are both due
to too much exposure to sunlight, it is not malignant melanoma.
It could not be basal cell carcinoma because it looks more like a non healing ulcer with
rolled borders. This patient does not have anything that would make someone think he had basal
cell carcinoma. Even though this is also caused because of too much sun exposure it is not what
the patient has.
In this case study, the patient does not have squamous cell carcinoma. Squamous cell
carcinoma presents as an ulcerative mass and this patient does not have any masses. It also
usually metastasizes to lymph nodes of the neck and then distant sites but this patients lymph
nodes were all found within normal limits.
Actinic keratosis is a small, rough spot occurring on skin that develops because of
chronic sun exposure. It generally ranges in size between 2-6 mm in diameter. It is usually
reddish in color, with a rough texture and often has a white or yellowish scab on top. There is
often a prickling pain felt when touched. It often occurs as a result of sun damage, and the patient
will most likely have wrinkles and excess superficial blood vessels.
Actinic cheilosis is the most common potentially malignant lip lesion. It is a diffuse

degenerative change in the lips as a result of sun damage. It occurs primarily in men and does not
present until after 50 years of age, but the cause is often extreme sun exposure during the teen
years and young adult life. Lifetime occupational sun exposure increases the risk. The lip
becomes puffy and blotchy red or pale pink, with occasional white leukoplakia and chronic
ulcers. It is precancerous, with an estimated 6% risk of cancer development.
In conclusion with all of our information we would have to say that the answer to our
case study is actinic cheilosis.

Sources:
International Journal of Dermatology 2014 Apr; Vol. 53 (4), pp. 466-72. Date of Electronic
Publication: 2013 Dec. 10.
Ibsen, O., & Phelan, J. (2014). Oral pathology for the dental hygienist (6th ed.). St. Louis, Mo.:
Elsevier.
Journal of the European Academy of Dermatology and Venereology: JEADV 2014 Sep; Vol. 28
(9), pp. 1141-9. Date of Electronic Publication: 2014 Mar 11.