A 34 year old male patient presents with the progressive app | Figure 1

acelestebs_01

Medical Student

A 34 year old male patient presents with the progressive appearance of a dark lesion on his lower lip, which he reports has been growing over the years. Initially, he noticed a small, barely noticeable spot that gradually increased in size and is now slightly elevated. He denies symptoms such as itching, pain, bleeding, or ulceration. The patient describes a small “bump” that can be felt upon touch and mentions a desire to pop it, though he has not attempted to do so. He denies any history of local trauma, lip biting, or prior manipulation.

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