There is a white spot on the outer side of the lower lip that resembles an ulcer?
Hello doctor, today I noticed a white spot on the outer side of my lower lip that resembles an ulcer, but it is slightly raised rather than indented.
The surface is somewhat rough, and it doesn't hurt or feel sensitive when I touch it.
I would like to know if this is a serious condition.
If I need to see a doctor, which specialty should I consult at my clinic? Thank you, doctor.
Sen Sen, 20~29 year old female. Ask Date: 2020/09/17
Dr. Zheng Jueyi reply Otolaryngology
Hello: The common issue is related to the minor salivary glands of the lower lip.
If you are concerned, you may visit an otolaryngologist or a dentist.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2020/09/17
More Info
When it comes to a white bump on the outer lower lip, there are several potential causes, and while many of them are benign, it's essential to monitor the situation closely. Given your description of the bump being slightly raised, rough in texture, and not painful, it could be one of several conditions, including:
1. Mucous Cyst (Mucocele): These are common and typically occur when a salivary gland duct is blocked or damaged, leading to a buildup of mucus. They often appear as painless, fluid-filled bumps and can resolve on their own.
2. Fibroma: This is a benign tumor made up of connective tissue. Fibromas can appear on the lips and are usually firm and painless.
3. Keratoacanthoma: This is a type of skin tumor that can appear on sun-exposed areas, including the lips. It typically grows rapidly and may resemble a squamous cell carcinoma, but it often resolves on its own.
4. Oral Lichen Planus: This is a chronic inflammatory condition that can cause white patches or bumps in the mouth. It may be associated with discomfort or pain, but some forms can be asymptomatic.
5. Squamous Cell Carcinoma: While less common, any persistent lesion that changes in appearance or does not heal should be evaluated by a healthcare professional to rule out malignancy.
Given these possibilities, it is advisable to seek a professional evaluation, especially if the bump persists for more than two weeks, changes in size or color, or if you notice any additional symptoms such as pain, bleeding, or difficulty eating.
What to Do Next
1. Consult a Healthcare Professional: You should consider visiting a healthcare provider who specializes in oral health. This could be a dentist or an oral surgeon, as they are trained to diagnose and treat conditions affecting the mouth and lips.
2. Documentation: Keep track of any changes in the bump, such as size, color, or symptoms. This information will be helpful for your healthcare provider.
3. Avoid Irritation: Try to avoid irritating the area further by not picking at the bump or consuming spicy or acidic foods that may exacerbate any discomfort.
4. Follow-Up: If the bump does not resolve or if you develop new symptoms, follow up with your healthcare provider for further evaluation, which may include a biopsy if necessary.
Conclusion
While a white bump on the lip can often be benign, it’s essential to monitor it and consult with a healthcare professional for a proper diagnosis and peace of mind. Early evaluation can help rule out serious conditions and ensure appropriate management if needed. Remember, it’s always better to err on the side of caution when it comes to changes in your health.
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