Images in Dermatology
Indurated Nodule on the Upper Lip
Nódulo indurado en labio superior
A. Imbernón-Moya
, E. Fernández-Cogolludo, M.Á. Gallego-Valdés
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Servicio de Dermatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain
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Imbernón-Moya, E. Fernández-Cogolludo, M.Á. Gallego-Valdés" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Imbernón-Moya" "email" => array:1 [ 0 => "adrian_imber88@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Fernández-Cogolludo" ] 2 => array:2 [ "nombre" => "M.Á." "apellidos" => "Gallego-Valdés" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Nódulo indurado en labio superior" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 994 "Ancho" => 958 "Tamanyo" => 194082 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 54-year-old woman with no relevant past medical history consulted for an asymptomatic lesion that been growing progressively on her upper lip for 4 years. She reported no systemic symptoms and denied trauma, cosmetic procedures, application of topical products, and consumption of oral drugs.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The skin examination showed an irregular, well-delimited, normal-colored, indurated, mobile, nonpulsatile nodule on the left upper lip (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). There were no oral mucosal lesions and the locoregional lymph nodes were not enlarged.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">We decided to perform a soft-tissue ultrasound before biopsy. The findings showed a solid, ovoid, well-defined, heterogeneous lesion with a diameter of 15<span class="elsevierStyleHsp" style=""></span>mm and abundant arterial and venous flow. A subsequent computed tomography scan of the supra-aortic arteries showed a hypervascular lesion with intense arterial enhancement that was irrigated by the labial branch of the facial artery and the superior alveolar artery (branch of the maxillary artery) (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1</a>B-D). Integration of the clinical and radiological findings (mainly the CT images) helped to confirm a diagnosis of caliber-persistent labial artery. The patient was referred to the vascular neuroradiology department for treatment.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Because of the risk of complications, skin or soft-tissue ultrasound should be requested before performing a skin biopsy in patients with an indurated lip nodule. Three-dimensional reconstructions are of great diagnostic value in vascular diseases and dermatological oncology.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Imbernón-Moya A, Fernández-Cogolludo E, Gallego-Valdés MÁ. Nódulo indurado en labio superior. Actas Dermosifiliogr. 2018;109:445.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 994 "Ancho" => 958 "Tamanyo" => 194082 ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack349279" "titulo" => "Acknowledgments" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">We thank Dr. José Maria Abadal from the vascular radiology unit for his help in this case.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010900000005/v1_201806040407/S1578219018301276/v1_201806040407/en/main.assets" "Apartado" => array:4 [ "identificador" => "41141" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000005/v1_201806040407/S1578219018301276/v1_201806040407/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018301276?idApp=UINPBA000044" ]
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