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Identifying skin neoplasms benign vs. malignancy - page 22 / 24

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Benign neoplasms of skin

Seborrheic keratoses

Common epidermal tumors from benign proliferation of immature keratinocytes, usually develop after 50

Sudden appearance of multiple has been associated with GI or lung cancer.

May be inherited AD, few to hundreds, start as macule with 1-3mm tan lesion early but can range from 1-6cm,  classically “stuck on”, “greasy”, brown, flat or slightly raised, warty, scaly hyperpigmented lesion

Treatment: Cosmetic, concerns.

Liquid nitrogen but may not respond with thicker lesion.  

Snip or shave excision

Electrocautry

Excisional biopsy into subcutaneous fat indicated if suspicion lesion

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