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Facial ulcers


Most facial ulcers are serious. Malignant facial ulcers are common in patients who work outdoors and are exposed to ultraviolet light. Lesions of the lips have been dealt with elsewhere (p. 293) and will not be included here.

Causes

Traumatic

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    Physical

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    Chemical

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    Irradiation

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    Dermatitis artefacta

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    Bites

Neoplastic

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    Basal cell carcinoma (rodent ulcer) ( Fig. 20 ) • (rare in tropical Africa)

    Figure 20, The larger nodular lesion on the cheek is a typical basal cell carcinoma .

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    Squamous cell carcinoma

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    Malignant melanoma

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