Slowly Progressive Pearly Papule

September 20, 2013

This long-standing papule has been slowly enlarging. Its pearly translucence suggests a skin cancer. What's your impression?

During a routine skin examination, a papule of several years' duration is noted on the upper lip of a 71-year-old man. The patient states that the lesion has been slowly enlarging; it does not bleed even during shaving.

What does this look like to you?