Vermilionectomy for a Progressively Actinic Cheilitis: Case Report

Abstract

Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation. It is a premalignant condition that affects 40-year-old males more commonly. Diagnose must be based on the histopathological exam, considering the degrees of dysplasia. Although there is not an established protocol of treatment to AC, whenever there is severe degrees of dysplasia the vermilionectomy is recommended. The aim of this study is to report a case of AC with moderate dysplasia that was initially treated with diclofenac in hyaluronic acid gel, but evolved to an intense dysplasia, and then submitted to vermilionectomy. We concluded that vermilionectomy is the treatment of choice in cases where there is intense dysplasia.