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Identifying skin neoplasms benign vs. malignancy - page 21 / 24

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Benign neoplasms of skin

Epidermal inclusion cyst

Most common cause of cutaneous cysts

Freely movable cyst/nodule, arising from epidermis or epithelium of hair follicle.  Rupture is common and contains keratin and lipid.

Treatment: uninfected often resolve by itself and recur.  Complete excision best not inflames, waiting for 4-6weeks.  Drain and send for culture if infected.

Pyogenic granuloma (granuloma telangiectaticum)

Capillary proliferation, usually from trauma, more frequent during pregnancy at gingiva

Erythematous, dome-shaped papule that bleeds easily develop days to weeks.

Treatment: Cosmetic, bothersome and easily bleeds

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