[26F] Concerned about a scar following a papule on upper lip

Patient Description

A 26-year-old female presented with a history of a flesh-colored papule on the border of her upper lip. The papule was painless, skin-colored, not itchy, and had no associated redness. It was approximately 1 mm in size, soft to the touch, and had clearly defined borders. After five days, the papule produced a scab and subsequently turned into a dark brown, ovoid scar that is darker than the surrounding skin. The patient reports no discomfort or itching from the scar, which has been present for about one week. There is no history of similar lesions, no known allergies or adverse reactions to medications, and the patient is not on any medications. There are no other symptoms reported, and the patient has no pre-existing conditions or chronic illnesses.

Show More

Arora's Assessment

What might be happening

Based on the information you provided, the following conditions could be possible:

  • Mucous Cyst: These are small, fluid-filled sacs that form on the lips or mouth. They're often painless and can be caused by lip biting, piercings, or other irritations. They typically resolve on their own but can sometimes leave a small scar.

    • Treatment usually involves leaving the cyst alone, but if it becomes bothersome or doesn't go away, a doctor might need to drain it or remove it surgically.
  • Fordyce Spots: These are small, painless, raised, pale or white spots or bumps 1 to 3 mm in diameter that may appear on the lips. They are common and benign, meaning they are not cancerous.

    • Treatment is usually not necessary for Fordyce spots. If they are causing you concern, however, treatments are available.
  • Skin Tag: These are small, soft, skin-colored growths that hang off the skin and look a bit like warts. They're very common and harmless. Skin tags can vary in color and size.

    • Treatment usually involves leaving the skin tag alone. If it becomes bothersome or you don't like the way it looks, a doctor might need to remove it.
  • Basal Cell Carcinoma: This is a type of skin cancer that begins in the basal cells. Basal cells produce new skin cells as old ones die. Limiting sun exposure can help prevent these cells from becoming cancerous. This type of cancer is usually characterized by a painful bump that may ooze or crust. Your lesion does not seem to fit this description but it's included for completeness.

    • Treatment usually involves surgical removal of the lesion.

Please remember that these are possibilities, not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your condition in person.

What you can do

  1. Keep the area clean and avoid picking at it to prevent infection.
  2. Apply a warm compress to the area to help reduce any potential swelling.
  3. Monitor the lesion for any changes, such as rapid growth, changes in color or shape, or new symptoms like pain or itching.

What you should look out for

  • Rapid growth in size of the lesion
  • Changes in color, shape, or texture
  • New symptoms such as pain, itching, bleeding, or oozing
  • If the lesion does not improve or worsens over time

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are mucous cysts and how are they treated?

Mucous cysts are small, fluid-filled sacs that form on the lips or mouth, often due to irritation or trauma like lip biting. They are usually painless and resolve on their own, but if persistent or bothersome, a doctor may need to drain or surgically remove them.


Are Fordyce spots a cause for concern and do they require treatment?

Fordyce spots are common, benign, painless, raised spots that appear on the lips. They are not cancerous and typically do not require treatment. However, if they cause concern, treatments are available to reduce their appearance.


What are skin tags and when should they be removed?

Skin tags are small, soft, skin-colored growths that hang off the skin. They are harmless and common. Removal is usually only necessary if they become bothersome or for cosmetic reasons, and a doctor can perform the removal.


How can I differentiate between a benign lesion and basal cell carcinoma?

Benign lesions like mucous cysts or Fordyce spots are typically painless and do not change rapidly. Basal cell carcinoma may present as a painful bump that can ooze or crust. Monitoring for changes in size, color, or new symptoms like pain or itching can help differentiate them, but a healthcare professional should evaluate any suspicious lesions.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback