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Khachemoune A. Arpey CJ, It may be difficult for a patient to determine whether a skin lesion or mole is of concern, so Dr. May Lupo encourages her patients to watch these skin lesions for changes that may indicate skin cancer. Goldberg DJ, 6. An angioma is due to the proliferation of the endothelial cells. A pyogenic granuloma is a vascular response to trauma and bacterial infection. Epidemiologic aspects of seborrheic keratoses. Cohen LM. Back to Top. Wollina U. Seborrheic Keratoses – The most common benign skin tumor of humans. Usatine RP, Ballester-Martínez A. Alexoudi I, There is long-standing controversy over whether keratoacanthomas are benign, spontaneously self-limited tumors or a variant of cutaneous squamous cell carcinoma that have the potential for metastasis.13 Keratoacanthomas share histopathologic characteristics that make them difficult to distinguish from squamous cell carcinoma. 20. Seborrheic keratoses are the most common benign epithelial tumor. The differential diagnosis includes Spitz nevi, amelanotic melanoma, and squamous or basal cell carcinoma. Khandpur S, Ramam M. Skin tumours. Solar lentigo In this article, I discuss seborrheic keratosis, stucco keratosis, benign melanocytic nevus, cutaneous horn, actinic keratosis, blue nevus, lentigo, and porokeratosis. Sebaceous cysts are generally identifiable by a central punctum, and abscesses can be identified by the presence of warmth, redness, and pain. Seborrheic keratosis. The use of dermoscopy to improve diagnosis has been addressed in a previous article in American Family Physician.4  However, the preferred method of diagnosing skin cancer is physical examination. 2010;9(6):699–701. They are generally asymptomatic but may become irritated with trauma or produce local obstructive symptoms in the airway or gastrointestinal tract. Objective: To evaluate dermoscopic and clinical characteristics of benign lesions of the genital area in both males and females, and to assess the distinguishing dermoscopic criteria of vulvar melanosis and atypical melanocytic nevi of the genital type. Histologically, lesions consist of enlarged mature lobules of sebocytes around a central duct. Dermatofibromas treated with pulsed dye laser: clinical and dermoscopic outcomes. Seborrheic keratoses may resolve with treatment of the malignancy, then reappear with its recurrence. Karaa A, Arpey CJ, Patients with skin lesions who underwent total excisional biopsy at the general surgery clinic between 2012 and 2016 were reviewed. Marghoob AA, 1977;296(26):1518. Vogt T. This characteristic destruction of tissues does not occur with benign lesions. An Bras Dermatol. A benign skin lesion is a non-cancerous skin growth. Ultrasonography can aid in the diagnosis of lipomas. We also searched the National Guideline Clearinghouse, Cochrane Database of Systematic Reviews, UpToDate, and Pepid. 2010;85(1):25–31. http://emedicine.medscape.com/article/191233-overview, Pharmacogenetics: Using Genetic Information to Guide Drug Therapy, Common Questions About Pneumonia in Nursing Home Residents. 1987;174(4):180–183. Shriner DL, They tend to be hereditary and occur after 30 years of age.24 They present as multiple, well-circumscribed, yellow to brown, raised lesions that feel slightly greasy, velvety, or warty and are described as having a “stuck-on” appearance25 (Figure 7). Aranha AM, Meyers D, Clinical inquiries. Describe the clini- Lentigo simplex It has the following characteristics: A melanocytic naevus can be histologically classified as a junctional, compound, or dermal naevus depending on the location of nests of naevus cells. Association between skin tags and insulin resistance [in Portuguese]. et al. There is a slower involution phase over several months, leaving a scar if not excised early in its course. Comparison of dermatolgic diagnoses by primary care practioners and dermatologists. Skin growths are typically characterised as either ‘controlled’ or ‘uncontrolled’. A dermal naevus is characterised by naevus cells in the dermis. Although these growths may not pose an immediate risk, several types may develop into a problematic issue with the passage of time and the growth of the lesion. They are usually subcutaneous but may occur in any organ because they are mesenchymal. Int J Dermatol. Kosma E. It is important to rule out basal cell carcinoma, which is generally red or pink and increasing in size. Bangs SA, Kirsner RS. Pyogenic granuloma is a rapidly growing nodule that bleeds easily. Dermal naevi arise in childhood but mature during early adult life. Parrish CA, Learn vocabulary, terms, and more with flashcards, games, and other study tools. Dermatoses of pregnancy. Arch Dermatol. Dimple sign to differentiate benign from malignant pigmented cutaneous lesions. Ho JK, 7. Stulberg DL. Common benign skin tumors. General characteristics of benign skin lesions are: Stable ; Uniform in surface, colour, structure; Often symmetrical in shape; Any bleeding or ulceration is due to recent injury ; Melanoma. Swygert KE, When ‘controlled’, the accumulation of cells and tissue does not spread to other parts of the body. Knowing the similarities and differences between these lesions allows Dr. Carroll to make a proper diagnosis. No treatment is required for sebaceous hyperplasia, although patients may request removal of lesions for cosmetic reasons or because of concerns about malignancy. JAMES C. HIGGINS, CAPT, MC, USN, RET, is a staff physician in the Family Medicine Residency Program at the Naval Hospital Jacksonville, Fla., and assistant clinical professor of family medicine at the Uniformed Services University of the Health Sciences, Bethesda, Md.... MICHAEL H. MAHER, CAPT, MC, USN, RET, is a staff physician at the Family Medicine Residency Program at the Naval Hospital Jacksonville, and an assistant clinical professor of family medicine at the Uniformed Services University of the Health Sciences. A junctional naevus is well-circumscribed, The compound naevus is usually a pink or brown, dome-shaped. J Drugs Dermatol. 2005;141(2):217–224. Keratoacanthomas are rapidly growing, squamoproliferative benign tumors that resemble squamous cell carcinomas. They consist of hyperplastic soft dermis and epidermis, and are usually skin colored or brownish (Figure 1). Husain Z, Foster WC, Benign skin lesions Sweta Rai Abstract Benign skin lesions are far more prevalent in our skin cancer clinics than their malignant counterparts, indicating possible diagnostic un-certainty as a cause of referral.

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