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A Persistent Upper Lip Swelling: A Diagnostic Dilemma

机译:持续性上唇肿胀:诊断难题

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A 62-year-old male patient reported with a complaint of missing teethand diffculty in eating. Intraoral examination showed completelyedentulous maxillary and mandibular arches. Extraoral examinationrevealed incidental fnding of a smooth-surfaced swelling, measuringapproximately 3.2×1.4 cm, involving the right side of upper lip[Table/Fig-1]. Detailed history revealed that swelling was presentfor the past six years and showed spontaneous regression in sizeapproximately within four days and again increased in size overthe duration of ten days. The patient denied any pain or alteredsensation and could not recount any history of trauma to the area.His past medical history and family history was non-contributory.On palpation, the lesion was fairly well circumscribed, non-tender,freely movable and relatively frm in consistency. No pulsation orblanching on pressure was appreciated. Based on history andclinical examination, a provisional diagnosis of chronic non-specifcgranulomatous lesion involving the upper lip was made.
机译:一名62岁的男性患者报告有牙齿缺失和进食困难的主诉。口内检查显示上颌和下颌弓完全缺牙。口外检查发现偶然发现的表面光滑的肿胀,约3.2×1.4 cm,累及上唇右侧[表/图1]。详细的历史记录表明,过去六年中一直存在肿胀,并且在四天内大约显示出自发的大小消退,并且在十天内持续出现大小的增加。该患者否认有任何疼痛或不适感,无法描述该地区的任何创伤史。他的既往病史和家族病史是无贡献的。在触诊时,该病灶界限清楚,无压痛,活动自如且相对狭窄一致。没有欣赏到脉动或压力分叉。根据病史和临床检查,对涉及上唇的慢性非特异性肉芽肿性病变进行了初步诊断。

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