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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 66-year-old man who consulted for a horn-like exophytic lesion that had developed on his upper lip over a period of 8 months and interfered with eating&#46; The patient was a rural laborer&#46; He was a nonsmoker and did not drink alcohol&#46; Dermatologic examination revealed a firm&#44; hyperkeratotic brown mass measuring 3<span class="elsevierStyleHsp" style=""></span>cm in length and 2<span class="elsevierStyleHsp" style=""></span>cm in diameter&#44; with its indurated base situated at the vermillion border of the upper lip &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; There were no palpable locoregional lymph nodes&#46; Complete surgical excision of the lesion was performed and histology showed findings compatible with differentiated squamous cell carcinoma &#40;SCC&#41; on a cutaneous horn &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#44; with atypical epithelial cells with prominent nucleoli in the epidermis&#44; forming nests that infiltrated the surrounding stroma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; inset&#41;&#46; No recurrence or metastases were detected during 2 years of follow-up&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The main risk factor for squamous cell carcinoma is chronic sun damage&#44; and the tumor commonly arises in sun-exposed areas such as the face and lower lip&#59; the upper lip is affected in only 2&#37; to 12&#37; of cases&#46; Cutaneous horn is a hyperkeratotic tumor with a conical appearance&#46; It is associated with various benign conditions &#40;seborrheic keratosis&#44; common warts&#41; as well as premalignant &#40;actinic keratosis&#41; and malignant &#40;SCC&#41; lesions&#46; If a malignant lesion is suspected&#44; excision biopsy including the base of the lesion must be carried out to perform histologic examination&#46; Adequate diagnosis and treatment of SCC of the lip is very important because of its metastatic potential&#46;</p></span>"
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Images in Dermatology
Cutaneous Horn on the Upper Lip
Cuerno cutáneo en labio superior
G. Blasco-Morentea,
Autor para correspondencia
gonzaloblascomorente@gmail.com

Corresponding author.
, S. Arias-Santiagoa, I. Pérez-Lópeza, J. Aneiros-Fernándezb
a Unidad de Gestión Clínica de Dermatología Médico Quirúrgica y Venereología, Hospital Universitario Virgen de las Nieves, Granada, Spain
b Unidad de Gestión Clínica de Anatomía Patológica, Hospital Universitario Virgen de las Nieves, Granada, Spain
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