Flat warts: features and treatment options

Warts are classified as benign neoplasms.

They can appear on various parts of the skin and mucous membranes.

If a wart appears on the lip, it represents a cosmetic defect and can also cause discomfort to its owner, worsening the quality of life.

Forming on the lip, the tumor affects speech and interferes with eating.

A wart can cause pain, especially if it is localized on the mucous membrane inside the lip.

If measures are not taken to eliminate it, the growth may become injured, which will lead to a secondary infection.

Types of warts

A wart is a growth that rises above the surface of the skin or mucous membrane.

Its dimensions, as a rule, are no more than 1 centimeter in diameter.

The tumor can appear on any part of the body, including the face.

On the face, most often a wart forms on the lip, above or below the lip, on the buccal surface of the oral mucosa.

A warty growth can appear on both the upper and lower lips.

The following types of neoplasms are distinguished:

• Common (vulgar) warts. These are growths that have a dense structure, soft to the touch, flesh-colored or yellowish in color. New growths form on the red border of the lips. They are not painful, but tend to itch. Vulgar warts appear on the lips not only in adults, but also in children.

• Flat- shaped growths may appear on the outside of the lips or on the oral mucosa. Their surface is smooth, oval or round in shape. The color of the growth resembles the color of the skin and almost does not rise above it. The location is also the red border of the lips. Flat warts do not hurt, but they are very itchy.

• Hanging neoplasms are located on a thin stalk. At the beginning of development they resemble a bump. They have a brown, pinkish tint or close to the color of the skin.

• Filiform (acrochords). These are small growths that appear after 35 years, but can occur earlier.

• Genital warts . The localization of such growths is the mucous membrane. The new growths are elongated and arranged in groups, resembling a cockscomb or cauliflower inflorescences. The growths are prone to injury, which causes inflammation and bleeding.

The wart forms gradually and almost imperceptibly.

• At the beginning of development, a small compaction forms, which gradually increases.
• A white dot forms on the surface of the mucous membrane of the lip or in the mouth, which gradually turns into genital warts.

To date, approximately one hundred types of papillomavirus have been discovered.

Some types of growths have a benign course, while others are capable of malignancy.

They can provoke the development of cancer.

In addition to the types of growths listed above, there are also senile warts (keratoma, keratosis).

The difference between keratosis is that its appearance is not associated with papillomavirus, and keratoma does not provoke the formation of cancer.

In their development, senile warts go through several stages:

1. ✓ brown spots appear, but the wart has not yet formed
2. ✓ formation of papules and nodules
3. ✓ appearance of keratoma - when you try to scrape off the scales, bleeding appears
4. ✓ transition to the cutaneous horn, which is characterized by excessive growth and keratinization of the neoplasm

According to some experts, keratosis and senile warts belong to different diseases.

Symptoms

If there are papillomas in intimate places, symptoms are divided into subjective (sensations, complaints) and objective (which can be directly seen by a specialist). Subjective ones include:

• the presence of growths (single or multiple);
• spots on the skin and mucous membranes of the genital organs;
• itching and other unpleasant superficial sensations in the affected area;
• pain during sexual intercourse;
• if male papillomas in intimate places are located in the urethra, burning and painful itching and difficulty urinating may be observed.

The pathology is characterized by the presence of painful cracks and bleeding of the skin and mucous membranes.

Objective symptoms include:

• rashes;
• papules and spots;
• wart-like papillomas;
• pointed condylomas localized in the perineum and perianal area.

The difference between a wart and keratoses and cancer

Keratosis may be similar in appearance to melanoma (a type of skin cancer).

Melanoma can begin as a warty growth or as a seborrheic keratosis.

A dermatologist can distinguish them from cancer.

To exclude an oncological process, a biopsy is performed.

The peculiarity of seborrheic keratosis is that the formation is waxy, flat, and there is no pain when touched or at rest.

With cancer, a growth similar to a keratosis may change shape or color.

In this case, you will need to consult a specialist.

Self-medication is harmful

Do not try to diagnose and treat HPV infection on your own! Firstly, there is a risk of improper use of drugs. Secondly, only a doctor can distinguish papilloma from a malignant tumor. In addition, self-treatment is fraught with consequences.

Today, there are celandine-based preparations on sale that are intended to eliminate warts. Celandine juice is similar in composition to iodine. Therefore, prolonged exposure to the drug causes skin burns. In this case, papillomas are seriously injured and can provoke the development of skin cancer. Cauterization with iodine is even more dangerous - it is more aggressive than celandine. Trying hard to get rid of papillomas with iodine, you can get scars on the skin. Vinegar is no better in this regard. Attempts to bandage warts and papillomas with a thin silk thread often only provoke the growth of these formations.

If you suspect the appearance of warts or genital warts, you should definitely seek advice from a dermatologist, urologist or gynecologist, depending on the location of the source of infection. Only a professional can correctly diagnose the disease and prescribe the necessary treatment.

Causes of warts

The appearance of warts is caused by infection with papillomavirus or HPV.

Since the skin on the lips is quite thin, it is therefore easily permeable to viruses.

It should be noted that signs of infection with the human papillomavirus do not always occur.

The better the immune system, the less likely it is that symptoms of the disease will appear.

And yet, most of the world's population is infected with HPV.

The incubation period for the development of the disease can be several months or years.

As soon as the immune system fails, the first signs of infection appear.

Activation of the virus is accompanied by the formation of warts.

As a rule, growths appear on the area of ​​the skin or mucous membrane where the pathogen entered the body.

Infection can occur both through sexual contact and through household contact.

Can the virus be transmitted by kissing on the lips?

The most common cases of infection are:

• intrauterine infection of the fetus if a pregnant woman is infected with papillomavirus
• shaking hands or kissing an infected person (if there are wounds or abrasions, the risk of infection increases)
• the use of personal items of an infected person (toothbrush, dishes, lipstick) is unlikely, since the pathogen is not stable in the environment
• sex accompanied by oral sex
• visiting common areas (swimming pool, sauna, shower)

People at risk are those who:

• patients with diabetes mellitus or other pathology of the endocrine system
• suffer from obesity and metabolic disorders
• taking antibiotics for a long time
• have chronic diseases
• suffer from increased sweating, especially on the feet, as this is where plantar warts often form

A malfunction of the immune system can occur for the following reasons:

• If there is a deficiency of essential substances in the body
• After suffering stress or physical exhaustion
• In case of hormone imbalance: during puberty, during pregnancy, with the onset of menopause, during treatment with hormonal drugs
• In case of chronic lack of sleep and overwork
• Due to a recent infectious disease
• If a person abuses smoking and alcoholic beverages

Diagnosis of warts

The main diagnostic method is to examine the patient's face for the presence of warts on the lips and oral mucosa.

To confirm or refute the presence of HPV, it is enough to take tests:

1. ✓ Blood tests for antibodies
2. ✓ To conduct a histological examination (biopsy), a small part of the tumor is taken for analysis
3. ✓ The PCR technique allows you to detect the genetic material of a pathogen with one hundred percent probability

Before getting rid of the growth, you should visit an oncologist.

A specialist will use dermatoscopy to determine the condition of the wart to rule out signs of malignancy.

Clinical manifestations of warts on the lip

A wart on the lip does not appear the next day after the papilloma virus enters the body.

The incubation period can last from six months to several years.

This often occurs when the immune system malfunctions.

Having penetrated the skin or mucous membrane, the virus integrates its genetic material into human cells and thus begins to multiply.

As a result, characteristic neoplasms appear at the site of virus introduction.

The pathogen provokes warty growths, disrupting the processes of keratinization of the skin.

Oncogenic strains of papillomavirus change the genetic apparatus of cells in such a way that a malignant formation is formed.

Strengthening the immune system

Modern medicine has not yet learned to kill viruses. But an important fact is that HPV carriage is not lifelong. In addition, medicine has a small number of means at its disposal that allow it to remove some of the viruses from the body. The use of these drugs is fully compatible with immunomodulatory therapy.

The amount of virus in the body is directly related to the state of the body’s immunity - the better the immunity, the less virus. Therefore, the most promising way to reduce the concentration of HPV in the body is to strengthen the immune system. For this purpose, a separate course of treatment is carried out, after which the person begins to feel much better.

Finally, there are very effective preparations for topical use - creams, gels, sprays that increase local immunity and reduce the concentration of the virus in the affected tissues.

Is it necessary to remove a wart on the lip?

Removal of the tumor is carried out if there are indications for this.

The growths sometimes disappear spontaneously.

Therefore, if the wart is small and does not cause much concern, then there is no need for removal.

The decision to excise the growth must be made by a specialist.

If a wart causes discomfort in the form of itching, burning, pain, grows, becomes inflamed, or changes in appearance.

If it has increased in size, changed shape and color, or is bleeding, then it must be removed by resorting to excision by one of the methods.

Removing a tumor at home is not safe.

As a result of incorrect actions:

• It may not be possible to remove the wart completely, which will cause its reappearance
• the risk of injury to healthy tissues that surround the growth increases
• scars and cicatrices may form

How to treat

Recommendations for the treatment of lip cancer are based not on clinical studies, as is customary for the vast majority of malignant tumors, but on decades of practical experience. It so happens that, due to the rarity of the disease, no randomized clinical trials have been conducted anywhere in the world. The choice of treatment is determined by the size of the primary tumor and, of course, the expected cosmetic defect. Even a small lip tumor changes a person’s quality of life much more than all other cancers. It is too noticeable, as is the scar that remains after its removal.

When treating cancer, it is important that there are no malignant cells in the surgical wound, so the tumor must be retreated in all directions. The lip itself is small, so even with a tumor measuring 5 mm, a postoperative scar of several centimeters will remain. Only after treatment of very small and superficial tumors do minor defects remain. Unfortunately, it is impossible to treat the patient in such a way that there are no defects left at all, therefore, when choosing a treatment method, they are guided by the least functional deformation and the minimum undesirable aesthetic result.

In this situation, the determining factor will be the decision of the patient who chooses the treatment option that will result in the least severe psychological consequences for him. Surgical treatment is preferable based on results, but radiation therapy, if possible, will leave fewer “traces.” With a large and superficial tumor of the lower lip, for example, a good result is likely after radiation therapy, which cannot be achieved if the cancer grows in the jaw bone. In this situation, the treatment option would be surgery.

Squamous cell skin cancer is very responsive to chemotherapy, but how lip cancer will react to cytostatics in each specific case can only be assumed, since serious and reliable studies of the effectiveness of drug therapy in this localization have not been conducted. However, for large inoperable tumors and relapses after excision, combined chemoradiation treatment has a good effect. If there are metastases to the nearest lymph nodes, the question of radical removal of regional lymphatic collectors with subcutaneous fat is raised.

Treatment of cancer in this location is purely individual, because the reconstructive possibilities of restoring lost lip volume and microsurgical leveling of the postoperative defect tend to zero. However, in most cases the patient has every chance of recovery. In case of lip cancer, it is very important to get to a good oncologist surgeon in time.

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Wart treatment

Treatment of any growth on the lips begins with a medical examination and determining whether the growth is malignant.

Next, the doctor selects a method of therapy.

In case of a malignant form, the patient is referred to an oncologist, who will decide how to treat the patient.

Treatment of the disease is complex.

Treatment consists of the main stages: removal of the growth and drug therapy.

Removal of the tumor can be done in one of the following ways:

1. ✓ Using pharmaceutical products
2. ✓ In a medical institution where modern excision techniques will be used
3. ✓ Folk remedies. The use of alternative medicine methods must be agreed with a doctor

Pharmacy products for removing warts

You can buy medications at the pharmacy that will help you deal with warts at home.

Among them:

• Super clean . The product is an alkaline solution that has a chemical effect on the growth, causing cauterization.
• Cryopharma, Wartner . These agents cause cryodestruction of the wart; as a result of cold exposure, the neoplasm is frozen.
• Solcoderm . A drug containing acids that have a cauterizing and mummifying effect on pathological tissues.
• Immunomodulators – Viferon, Oxolinic ointment will help increase immunity and the body’s fight against the virus.
• Antiviral agents – Isoprinosine, Interferon.

The use of cauterizing agents on the lips and face is extremely undesirable; application of these agents to the oral mucosa is especially dangerous.

Wart removal in the clinic

The clinic uses modern hardware techniques to excise growths:

1. Laser therapy . The method allows you to quickly and without blood remove the growth. There is no discomfort during the procedure, as pain relief is performed. During one session, you can get rid of several tumors in a very short time. The method is suitable not only for adults, but also for children. The likelihood of relapse is minimized. Skin defects in the form of scars after laser use are very rare.

1. Radio wave therapy . The technique is considered the safest. When excising a wart using a radio wave, there is no contact with the skin. It is not always possible to completely remove the growth. The procedure leaves no traces of impact.
2. Electrocoagulation . The procedure requires anesthesia. Using an electrode to which a high-frequency electric current is applied, the wart is burned out, followed by cutting off the growth with a special metal loop. Scarring may appear after removal.
3. Cryodestruction . Liquid nitrogen is used and the wart is treated until it turns white. As a result of exposure to low temperatures, the growth tissues die. There is no need for anesthesia for the manipulation. The disadvantage of the technique is the lack of control over the depth of nitrogen exposure. For this reason, frequent relapses occur.
4. Surgical. Removal is done using a scalpel. The disadvantage of the procedure is the formation of a scar, so this technique is used only for certain indications (in case of malignancy of the process and large size of the wart).

What is fibroma

This is a benign neoplasm in the form of a small node on a stalk or broad base, which consists of fragments of connective tissue. In most cases, it is localized on the mucous membranes of the gums, lips, palate, on the inside of the cheeks, and a little less often on the tongue. The pathological process is more often encountered by primary schoolchildren and adolescents aged 6-15 years.

The patient is not in pain; at a very early stage he does not notice the pathology. As the thickening grows, it is easily felt and accidentally injured.

Can fibroids in the mouth resolve on their own, without medical intervention? In most cases, surgical excision of the tumor is required. However, do not worry about the complexity and duration of the operation. In less than an hour, an experienced doctor will eliminate the defect without subsequent complications and a long rehabilitation period. Currently, clinics use laser and radio wave techniques.

Despite the relative harmlessness of fibrous growths, they still need to be treated even in the absence of discomfort. If the seals increase in size and are constantly exposed to traumatic effects, it is highly likely that an infection will enter the wound. In this case, treatment will be very long, difficult and will not always lead to positive dynamics. In addition, the lack of therapy sometimes leads to the degeneration of a neoplasm into a malignant one.