Letters to the Editor

We highlight the case of a 44-year-old female who presented to the oral and maxillofacial department following an urgent referral and who had an enlarging lesion on her lower lip, present for 7 weeks. History revealed that the patient had a previous laceration to the lower lip when she was aged 5 years, which was closed primarily. She had a secondary complaint of a dry cough, mild shortness of breath and difficulties in accessing primary care due to suspicions of coronavirus.

On examination, there was a 30-mm raised, red, indurating lesion inferior to the midline of the lower lip, below the vermillion border (Figure 1). The lesion involved the inner labial oral mucosa. Application of the surgical sieve for differential diagnoses for this lesion emphasized a need to rule out a neoplastic origin.¹ The patient had an incisional biopsy under local anaesthetic of the inner labial mucosa with two samples taken, one superficial and a further deeper sample. Taking a sample intra-orally, reduced the risk of visible scarring.