The lower lip is slightly itchy and enlarged like a cocoon

Introduction At the beginning of the lip, many indurations appear in the lower lip, slightly itchy and uncomfortable, gradually increasing, the surface is rough like silkworm cocoons, or like nipples, bacteria-like; followed by ulceration pain, basement hard, time overflowing blood, malodor, ulcer surface or scarring , after falling off and born again; the mass can spread to the entire lip, hindering the diet. Eat less hot, hot and spicy food. Eat more fruits and vegetables; rinse with a light salt water after meals to keep your mouth and lips clean; let your lips fall off when you lose your lips. Do not peel off with your hands. Do not drink alcohol, do not eat spicy foods such as spicy, pay attention to the protection of the affected area, do not squeeze the affected area by hand.

Cause

Traditional Chinese Medicine: Because the phlegm and phlegm poison condenses on the lips, it gradually becomes malignant. The lips are swollen, the skin is white and wrinkled like cocoons, and the ulceration is the main manifestation of cancerous diseases.

Western medicine: refers to the micro-itch worm-like induration caused by malignant tumors of the lips. It is also an extremely serious pathological change. Active treatment is still necessary. Should go to the dermatology of regular hospitals for timely treatment.

an examination

Related inspection

Blood routine

1. There are many leukoplakia, cleft palate, lip papilloma and other medical history.

2. At the beginning, more induration in the lower lip, slight itching discomfort, gradually increase, the surface is rough like silkworm cocoons, or like nipples, bacteria-like; followed by ulceration pain, basement hard, time overflowing blood, malodor, ulcer surface or scarring , after falling off and born again; the mass can spread to the entire lip, hindering the diet.

3. May be associated with metastatic mass in the infraorbital, submandibular or cervical lymph nodes.

4. Histopathological examination confirmed.

Differential diagnosis

1. Lips: A condition that occurs in the lips. Because the white skin with protrusions is cracked, it is like a silkworm cocoon, hence the name. From the beginning, on the outer side of the red lip, there is a bean-like induration, which gradually increases, hard and painful, and easily breaks and bleeds. Or if the bacteria are different, the surface of the ulcer is often covered with suede and the surface is uneven. Sometimes a lump can appear in the neck and ankle. Late mouth dry, dry throat, body weight loss.

2. Lip wetness: only redness and erythema of the lips are red, and the plant is dry and chapped, without ulceration and base induration.

3 cold sores (face herpes): is the most common type of herpes simplex. The cause is infection with herpes simplex virus. It appears that there are hot, itching and flushing in the beginning, and then there are dense integrated groups or groups of needle-sized blisters, which are smaller and more clustered than the original blister, ruptured and eroded, exudate, and gradually dry. Hey, after about 1 to 2 weeks, the local pigmentation can be left behind. The damage occurs at the junction of the skin and mucous membranes, such as the corners of the mouth, the lips and the nostrils, and also occurs in the face and lips. Herpes labialis (face herpes) is the most common type.

4 near the upper lip, paranasal sulcus and eyelid papules or nodules: multiple hair epithelial tumors are dominant hereditary benign tumor lesions, multiple multiple, smooth and slightly transparent solid papules or nodules, single lesion diameter 2 to 4mm, fleshy or light red, with a slight depression in the center, often in groups but isolated, skin lesions occur in the face, especially near the upper lip, paranasal sulcus and eyelids, other parts such as the head, neck and trunk It can happen that skin lesions occur in children or adolescents, and women are more common.

5 Lip blisters: Most blister formation is a response to exogenous factors that cause skin irritation or other damage, although some may be the result of a disease or other condition. A single blister is often caused by friction or mild burns, typically on the hands, feet or other exposed areas. A bunch of blister may be the result of a severe burn, or a drug, chemical reaction, or autoimmune disease.

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