History of the present illness

This is a 70-year-old male who presented with a smooth-surfaced, pink, firm nodule on the left side of the upper lip (Figures 1& 2). The patient stated that it had been present for almost 20 years and had grown larger over the last few months. It is around 1.3 cm in diameter at its greatest dimension and is otherwise asymptomatic with an intact mucosa.

Figure 1 This photograph was taken at first clinical presentation and demonstrates a mild and localized swelling on the left side of the upper lip.

Figure 2 This photograph was taken at first clinical presentation with the clinician's finger below the nodule on the left side of the upper lip.