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. 316) and will not be included here.
Causes
Traumatic
Neoplastic
• 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.
Note the pearly appearance of the lesion which is beginning to ulcerate. The smaller lesion lateral to the basal cell carcinoma is a benign naevus.
Infective
History
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