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Actinic Cheilitis — SCE Dermatology MCQ

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HardSkin CancerActinic CheilitisSCE Dermatology

A patient with diffuse actinic cheilitis develops a focal firm ulcer within the lower-lip field. What should be done before choosing a field-directed treatment?

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Correct answer: B — Biopsy the indurated focus to assess invasion

Induration or ulceration within actinic cheilitis can indicate invasive squamous cell carcinoma. The suspicious focus requires adequate histological sampling before field treatment is selected for the remaining intraepithelial disease.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines