Bulge on face

A 76-year-old woman visits the clinic to have a bulge on her face examined after noticing it for the first time around a year ago. Although she claims that the bump has been progressively expanding, she downplays any accompanying symptoms such as pain, itching, or burning. The patient disputes any prior injuries to the region. According to the Fitzpatrick scale, the patient has skin type VI and a tiny, soft, skin-coloured papule measuring 0.5 by 0.5 cm on the upper cutaneous lip.