case_images: PMC11827287_01
case_images: Ulcerated lesion affecting the right and central regions of the lower lip
case_images: cureus-0017-00000077468-i01.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i01.jpg
case_images: FIG1
case_images: On examination, he presented with an ulcerated lesion involving the right and central areas of the lower lip, measuring approximately 2.5 cm (Figure 1), with no palpable cervical nodes or masses.
case_images: MRI scan revealing a 29 x 18 mm mass in the lower lip
case_images: cureus-0017-00000077468-i02.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i02.jpg
case_images: FIG2
case_images: MRI scan highlighting the largest right level I lymph node
case_images: cureus-0017-00000077468-i03.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i03.jpg
case_images: FIG3
case_images: Defect resulting from tumor excision
case_images: cureus-0017-00000077468-i04.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i04.jpg
case_images: FIG4
case_images: The patient underwent an extensive W-type excision (Figure 4) with primary closure, along with a right suprahyoid neck dissection.
case_images: One month post-surgery
case_images: cureus-0017-00000077468-i05.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i05.jpg
case_images: FIG5
case_images: During follow-up, the patient demonstrated optimal healing, with preserved function and satisfactory aesthetic results (Figure 5, Figure 6).
case_images: Six months post-surgery
case_images: cureus-0017-00000077468-i06.jpg
case_images: PMC11827287_01_cureus-0017-00000077468-i06.jpg
case_images: FIG6
case_images: During follow-up, the patient demonstrated optimal healing, with preserved function and satisfactory aesthetic results (Figure 5, Figure 6).