Epithelioma is indicated by a ragged ulcer on the lower lip, commencing as a wart, the skin around being hard and infiltrated, with enlargement of the submaxillary lymphatic glands, which become tender, or even ulcerated.

Epithelioma of the gum is in the form of a ragged ulceration, often the result of irritation from diseased teeth; the pain and inconvenience at first slight; a tending of the ulceration to spread towards the tongue and cheek, with induration of the base of the ulcer.


Removal as soon as its nature is manifest. In slight or doubtful cases the application of the strongest nitric acid, the acid nitrate of mercury, or the actual cautery, to bring about a healthy cicatrization. If the disease has involved the alveolus, as is evident by the swelling of the gum and the looseness of the teeth, a free removal of the bone is necessary.