Lip Lesions: Is Your Upper Lip Abnormality a Concern? - Dentistry

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Abnormalities of the upper lip?


Doctor, I have a white, fatty-looking line about 1 cm long on the right side of my upper lip, in the red lip area.
It is slightly raised compared to the surrounding mucosa, and there is a small circular area that feels firm and white, resembling a lipoma.
There is no pain or bleeding, and the surrounding tissue appears intact without any irregular edges.
It is not easy to notice unless I stretch my lip.
Could this be a precancerous lesion?

abba, 30~39 year old female. Ask Date: 2012/12/13

Dr. Zeng Guanghui reply Dentistry


Hello: There is a 1 cm white, fatty-like mark on the inner mucosa of the upper lip, but there is no discomfort, pain, or bleeding.
You may feel a rough texture on the surface, and there could be a hard lump beneath the mucosa.
If you experience any of these symptoms, it is advisable to consult a dentist for further evaluation and treatment.
Wishing you peace and good health.

Reply Date: 2012/12/13

More Info


When it comes to abnormalities in the lip, particularly in the upper lip, it is essential to approach the situation with a thorough understanding of potential conditions. Based on your description, you have a white, slightly raised lesion on the right side of your upper lip, which resembles a fatty deposit and does not cause pain or bleeding. The characteristics you've described—such as the absence of symptoms like pain, bleeding, or irregular borders—are generally reassuring. However, it is crucial to consider various possibilities.

The lesion you are describing could be a number of benign conditions. One common possibility is a lipoma, which is a benign tumor made up of fat tissue. Lipomas are typically soft, movable, and painless, and they can occur anywhere in the body, including the lips. They are usually not a cause for concern unless they grow significantly or change in appearance.

Another possibility could be a mucocele, which is a cyst that forms when a salivary gland becomes blocked or damaged. Mucoceles can appear as soft, painless swellings and are often translucent or bluish in color. They can occur on the lips and may require treatment if they become bothersome or recurrent.

Additionally, you might be observing a fibroma, which is a benign growth of connective tissue. Fibromas can appear as firm, raised lesions and are usually asymptomatic.
While the characteristics of your lesion are not typical of precancerous changes, it is essential to remain vigilant. Precancerous lesions, such as actinic keratosis, can appear as rough, scaly patches on sun-exposed skin, including the lips. However, these lesions typically have a different texture and appearance than what you have described.

In terms of cancer, lip cancers can present as non-healing sores, lumps, or changes in the color or texture of the lip. The absence of pain, bleeding, or irregular borders in your case is a positive sign, but it does not completely rule out the possibility of malignancy.
Given your concerns, it is advisable to consult with a healthcare professional, preferably a dermatologist or an oral surgeon, who can perform a physical examination and, if necessary, a biopsy to determine the nature of the lesion. They may also consider imaging studies if there is any suspicion of deeper involvement.

In summary, while the lesion you described does not immediately suggest a precancerous condition or malignancy, it is essential to have it evaluated by a medical professional. Early diagnosis and management are key in addressing any potential issues, and a healthcare provider can offer the best guidance based on a thorough examination.

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