Aa
A
A
A
Close
Dermatology Community
53.6k Members
Avatar universal

polypoid muccosal lesion

I developed a curious lone papular  lesion almost centered on my upper lip at the point where my lips meet.  It is penundulated, round and smooth on the top, flesh coloured with a slight white tone because of the thicker layers of keratin at the top.  Probably less than 1/2 mm wide but it seems to be growing very slowly, barely noticeable due to its position on the lip line.  I have just come back from my GP and he diagnosed it as a polypoid mucosal lesion.  He was sure it was not a wart.  He mentioned that this condition is very common.  I myself thought it was more of a fibroma.  I've been referred to an oral surgeon to have it removed.  I was wondering if anyone has experienced this and might know what causes it.  Is it a viral infection or due to irritation?  One factor might be that I switched to a store-bought soft plastic grind guard that sat on my upper teeth.  This might have irritated the skin.  Should I demand it be biopsied?  Other than looking weird when I open my lips wide, it isn't really causing any problems but it is really freaking me out.
4 Responses
Avatar universal
bump - anyone have a clue on this?
Avatar universal
Does this sound like a wart to anyone?  I imagined a wart would have bumps and uneven rough growth on the top.  This is fairly smooth, like a skin tag on the lip.  
563773 tn?1374250139
MEDICAL PROFESSIONAL
Hello,
Polypoid lesion is a small vascularized growth arising from the surface of a mucous membrane, having a rounded base or a stalklike projection. It presents as a well-defined, mobile, painless, dome-shaped swelling. To confirm the diagnosis before getting it removed, it is best to get a biopsy skin done.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

Avatar universal
It was a fibroepithelial polyp.  The oral surgeon had it biopsied and it turned out to have some a minimal amount of dysplasia.  I believe the cause was  cedar wood toothpicks that I was using for a while.  The toxins in the cedar wood along with the friction irritation caused the fibroma.


I would highly recommend that anyone developing such a lesion to immediately see an oral surgeon who specializes in pathology.
Have an Answer?
Top Dermatology Answerers
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions