Lip Lesions: When to Seek Medical Attention - Otolaryngology

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Lower lip..?


Hello Doctor, about 1 to 2 months ago, I noticed a small bump on my lower lip.
It is neither painful nor itchy.
Initially, I thought it might be a bacterial infection that would resolve in a few days, but now, nearly two months later, it hasn't improved.
Although it is still not painful or itchy, it has grown significantly larger than it was at first.
Once, while eating, I accidentally bit it, which caused slight bleeding, and the area has developed a bit of a dark color with two small white spots.
What could this be? Do I need to seek medical attention immediately?

Tian, 20~29 year old female. Ask Date: 2009/01/14

Dr. Ye Dawei reply Otolaryngology


Hello: 1.
Mucous cyst.
2.
Resectable.
Dr.
Yeh Da-Wei, Head of the Department of Otolaryngology at Hsinchu Hospital.

Reply Date: 2009/01/14

More Info


When it comes to lip lesions, it is crucial to pay attention to any changes in size, color, or sensation, as these can be indicators of underlying issues that may require medical attention. Based on your description, you have a small, raised lesion on your lower lip that has persisted for about two months without pain or itching, but has increased in size and has developed some concerning characteristics, such as a darkened area and small white spots.
Firstly, it is important to note that while many lip lesions can be benign, such as mucoceles (which are fluid-filled cysts) or fibromas (benign tumors), any lesion that changes in size, color, or texture over time warrants further evaluation. The fact that your lesion has grown larger and has developed a dark area and white spots, especially after being accidentally bitten, raises some concerns. The presence of bleeding and changes in color can indicate irritation or potential complications, such as infection or even dysplastic changes that could be precursors to more serious conditions.

In general, you should seek medical attention if you notice any of the following:
1. Persistent lesions: Any lesion that does not heal within two weeks should be evaluated by a healthcare professional.

2. Changes in appearance: If the lesion changes in size, color, or texture, especially if it becomes darker or develops new features (like the white spots you mentioned), it is important to have it assessed.

3. Bleeding or pain: Any bleeding, pain, or discomfort associated with a lesion should prompt a visit to a healthcare provider.

4. Associated symptoms: If you experience other symptoms such as swelling, fever, or systemic symptoms (like fatigue or weight loss), these could indicate a more serious condition.

Given your situation, it is advisable to consult a dermatologist or an oral surgeon who can perform a thorough examination and possibly a biopsy if deemed necessary. They will be able to determine whether the lesion is benign or if it requires further investigation or treatment.

In terms of immediate actions, avoid irritating the lesion further (such as biting or picking at it) and maintain good oral hygiene. If you notice any signs of infection, such as increased redness, swelling, or pus, seek medical attention sooner rather than later.

In summary, while many lip lesions can be harmless, your description suggests that this one has changed significantly over time. It is best to err on the side of caution and have it evaluated by a medical professional to rule out any serious conditions and to receive appropriate treatment if necessary.

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