Upper lip mucosa
Hello, Doctor.
I do not smoke or drink alcohol, and there is no family history of cancer.
About 2-3 weeks ago, I accidentally discovered a red area on the mucosa of my upper lip, measuring 0.2 x 0.4 cm.
It is not painful and has a smooth surface.
Over the past two weeks, I have noticed that the redness has faded by about 70-80%, and there are still faint traces of it, with two small red circles that become more pronounced when I stretch the area.
I consulted an oral surgeon who examined and palpated the area and said it is nothing to worry about, appearing to be a prominent vascular proliferation without any signs of malignancy.
However, I am still a bit concerned because it is generally said that red lesions in the oral cavity could be precursors to cancer.
What do you think, Doctor? Do I need further examination, or can I be reassured?
A Zhe, 30~39 year old female. Ask Date: 2018/10/18
Dr. Zheng Jueyi reply Otolaryngology
Hello: If you have already been examined by a physician and no obvious ulcers are found, you may observe your condition for now.
However, if the pain persists or if any ulcers last for more than two weeks without improvement, you should seek medical attention again.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2018/10/18
More Info
When it comes to changes in the lip mucosa, particularly the appearance of red spots or lesions, it is understandable to feel concerned, especially given the general awareness of oral health issues and the potential for precancerous conditions. In your case, the red area on your lip mucosa, which has shown improvement over the past few weeks, is a positive sign. The fact that it has diminished significantly and is no longer painful is encouraging.
The term "nosological entity" refers to a distinct disease or condition that can be classified and diagnosed based on specific criteria. In your situation, the assessment by the oral surgeon that the lesion appears to be a vascular proliferation rather than a malignant transformation is reassuring. Vascular proliferations, such as hemangiomas or other benign vascular lesions, can occur in the oral cavity and are typically not associated with cancer.
However, it is essential to remain vigilant. While your doctor has indicated that there is no evidence of malignancy, it is crucial to monitor any changes in the lesion. If it begins to grow, change in color, or develop new symptoms, further evaluation may be warranted. Regular follow-ups with your healthcare provider are advisable, especially if you have any concerns or if the lesion does not resolve completely.
In terms of oral health, red spots or lesions can arise from various causes, including irritation, trauma, infections, or inflammatory conditions. While some lesions can indeed be precursors to cancer, many are benign and resolve on their own. The key is to differentiate between the two, which is why clinical evaluation is so important.
If you have a history of any risk factors for oral cancer, such as tobacco use, alcohol consumption, or a family history of cancer, it may be prudent to discuss these with your healthcare provider. Even in the absence of these factors, maintaining good oral hygiene and regular dental check-ups can help in early detection of any abnormalities.
In summary, based on your description and the assessment from your oral surgeon, it seems that you can be reassured for now. However, keep an eye on the area, and do not hesitate to seek further evaluation if you notice any changes or if your concerns persist. Regular monitoring and communication with your healthcare provider are key components of maintaining oral health and addressing any potential issues early on.
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