PMID- 30697396 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 1989-5488 (Print) IS - 1989-5488 (Electronic) IS - 1989-5488 (Linking) VI - 11 IP - 1 DP - 2019 Jan TI - Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil. PG - e62-e69 LID - 10.4317/jced.55133 [doi] AB - BACKGROUND: To investigate the prevalence of malignant and potentially malignant lesions of the lip in an oral pathology service and to compare these data with a literature review. MATERIAL AND METHODS: A total of 3173 biopsy reports and histopathological records were analyzed. Cases with a histological diagnosis of actinic cheilitis (AC) with or without epithelial dysplasia, in situ carcinoma, or lip squamous cell carcinoma (LSCC) were included. A comprehensive literature review was conducted to investigate the prevalence of AC and/or LSCC. RESULTS: 124 cases (3.91%) were included, 75 (60.5%) had some degree of epithelial dysplasia and 31 (25.0%) were LSCC. Clinically, most of the lesions were diagnosed as AC (50.8%); however, eight cases clinically reported as AC were histologically diagnosed as LSCC. Regarding clinical characteristics, most individuals were fair-skinned male, with mean age of 54.3+/-12.3 years, and with a history of long-term solar exposure. Furthermore, 18 articles were selected from the literature, showing that the lower lip was predominantly affected and that most individuals were males, fair-skinned, and older than 40 years. CONCLUSIONS: Since most of the cases diagnosed clinically as AC presented some degree of epithelial dysplasia, it is important to emphasize the value of biopsy and the histological evaluation of this lesion. Key words:Actinic cheilitis, Precancerous conditions, In situ carcinoma, Oral diagnosis, Mouth neoplasms. FAU - Mello, Fernanda-Weber AU - Mello FW AD - Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. FAU - Melo, Gilberto AU - Melo G AD - Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. FAU - Modolo, Filipe AU - Modolo F AD - Department of Pathology, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. FAU - Rivero, Elena-Riet-Correa AU - Rivero ER AD - Department of Pathology, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. LA - eng PT - Journal Article PT - Review DEP - 20190101 PL - Spain TA - J Clin Exp Dent JT - Journal of clinical and experimental dentistry JID - 101603132 PMC - PMC6343992 COIS- Conflict of interest statement: The authors have declared that no conflict of interest exist. EDAT- 2019/01/31 06:00 MHDA- 2019/01/31 06:01 PMCR- 2019/01/01 CRDT- 2019/01/31 06:00 PHST- 2018/07/10 00:00 [received] PHST- 2018/12/10 00:00 [accepted] PHST- 2019/01/31 06:00 [entrez] PHST- 2019/01/31 06:00 [pubmed] PHST- 2019/01/31 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 55133 [pii] AID - 10.4317/jced.55133 [doi] PST - epublish SO - J Clin Exp Dent. 2019 Jan 1;11(1):e62-e69. doi: 10.4317/jced.55133. eCollection 2019 Jan.