case_images: PMC11086941_01
case_images: (A) Multiple, well-defined, yellowish papules over the upper lip, (B) (H&E, 40x magnification) it shows mild spongiosis attached to the epithelium, and opening onto the surface is a well-developed lobulated sebaceous gland. The submucosa shows a moderately dense lymphoplasmacytic infiltrate. (C) (Postprocedure after 2 weeks): crusting present over the upper lip, (D) resolution of lesions postprocedure after 16 weeks of treatment
case_images: JCAS-17-78-g001.jpg
case_images: PMC11086941_01_JCAS-17-78-g001.jpg
case_images: JCAS_159_22-f001
case_images: A 21-year-old male patient with multiple, yellowish papules on the upper lip for 2 years is reported [Figure 1A]. The submucosa shows a moderately dense lymphoplasmacytic infiltrate [Figure 1B]. The patient was evaluated after 2 weeks of treatment, getting re-epithelization and crusting over the lip [Figure 1C]. After 16 weeks, there was significant cosmetic improvement without any recurrences in the treated area [Figure 1D].
case_images: PMC11086941_02
case_images: (A) Multiple, well-defined whitish to yellowish papules coalescing to form plaques on the upper lip, (B) (H&E, 40x magnification) it shows mild spongiosis and well-developed lobulated sebaceous gland suggestive of Fordyce spots, (C) resolution of lesions postprocedure after 16 weeks of treatment
case_images: JCAS-17-78-g002.jpg
case_images: PMC11086941_02_JCAS-17-78-g002.jpg
case_images: JCAS_159_22-f002
case_images: A 25-year-old male patient with multiple yellowish papules coalescing to form plaques on the upper lip since puberty is reported [Figure 2A]. The histopathological examination was co-relating with ectopic sebaceous glands [Figure 2B]. After 16 weeks, there were no recurrences in the treated area with a good cosmetic result [Figure 2C].
case_images: PMC11086941_03
case_images: (A) Multiple, discrete, yellowish papules over the upper lip, (B) Pinhole ablation technique using CO2 laser, (C) immediate postoperative photograph after pinhole ablation, (D) resolution of lesions postprocedure after 6 weeks of treatment
case_images: JCAS-17-78-g003.jpg
case_images: PMC11086941_03_JCAS-17-78-g003.jpg
case_images: JCAS_159_22-f003
case_images: A 28-year-old male patient with multiple, yellowish papules on the upper lip for 5 years is reported [Figure 3A]. This leads to the formation of necrotic columns and thus reducing the bulk of the pathological tissue [Figure 3B and C]. After 6 weeks, there was a complete resolution of the lesion and no recurrence in the treated area [Figure 3D].