A 21-year-old white male housepainter presented to the student health clinic with a 4-year history of a lesion on his lower lip. His primary care physician had treated the lesion with cryotherapy on 2 separate occasions, without resolution. There was no history of trauma; the patient had no other medical problems; and the lesion had been stable in size over the preceding months. The lesion was asymptomatic.
On examination, there was a 3×5-mm yellowish brown verrucous papule at the center of the lower lip. There was no surrounding erythema or crusting (Figure 1). The lesion was removed by means of a deep shave excision and was sent for pathologic evaluation (Figure 2 and Figure 3).
Colonna TM, Fair KP, Patterson JW. A Persistent Lower Lip Lesion. Arch Dermatol. 2000;136(5):665-670. doi: