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Doctor insights on: Dermatoscopy

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Is seborrheic keratosis a malignant skin cancer tumor?

Is seborrheic keratosis a malignant skin cancer tumor?

No: Sk's are nonmalignant tumors, nor are they premalignant. They often grow on sun damaged skin, so they often show up in the same areas which are at risk for skin cancers. Sk's require no treatment. See a md for eval & diagnosis. ...Read more

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Can seborroheic keratosis lesions be multicolored?

Can seborroheic keratosis lesions be multicolored?

SK color: Yes, they can be brown, dark brown/black, light brown or tan. Typically rough texture (like a wart) or waxy texture. Hope this helps ...Read more

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Pigmented lesion ..Back...Biopsy sheets dermoepidermal junction nests pigmented bland looking round cells &nuclei.......Whats diagnosis plz?

Pigmented lesion ..Back...Biopsy sheets dermoepidermal junction  nests pigmented bland looking round cells &nuclei.......Whats diagnosis plz?

Sounds benign: This description sounds like a benign mole or what a pathologist would call a junctional nevus. There should be a final diagnosis on the report in addition to the description. Doesn't sound worrisome or atypical to me. ...Read more

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Is lichenoid keratosis pre cancerous?

No: If truly solitary and path shows changes like lichen planus, this is a benign entity. Biopsy or excision of entire lesion is often considered. ...Read more

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Can precancerous skin lesions be scratched off?

Can precancerous skin lesions be scratched off?

Skin lesions: Any questionable skin lesions should be seen in person by a specialist. If a lesion has been diagnosed as pre-cancerous I would not recommend scraping it off. Having an initial biopsy performed is essential. A likely follow-up of the complete lesion with clean margins would then need to be performed. It's important to always protect your skin and avoiding prolonged direct sun exposure. Be safe! ...Read more

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Can a skin biopsy showing psoriasisiform dermitis confirm a suspected case of psoriatic arthritis?

Can a skin biopsy showing psoriasisiform dermitis  confirm a suspected case of psoriatic arthritis?

Not for sure: The doctor might choose to perform a skin biopsy in order to rule out other possible skin conditions, sexually transmitted diseases, or infections. With a skin biopsy, the doctor may order a series of lab tests to determine whether certain bacteria, viruses, or fungi are present. ...Read more

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Does a seborrheic keratosis require a biopsy?

Cannot hurt: It will confirm or correct the diagnosis..Go with the advise of your doctor. ...Read more

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Is laser actinic keratosis removal possible?

Is laser actinic keratosis removal possible?

Yes: Actinic keratoses are pre-cancerous skin lesions caused by sun exposure. Various treatments can be used, including liquid nitrogen (freezing), topical creams (imiquimod, fluoruracil, others), curettage (scraping), and medium-depth chemical peels. Laser treatments include co2 laser ablation and photodynamic therapy (laser treatment after application of a medication to the skin). ...Read more

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Do I need dermatologist for removal of actinic keratosis (sun spots)?

Do I need dermatologist for removal of actinic keratosis (sun spots)?

It depends: Dermatologists have substantial knowledge and experience in the treatment of actinic keratosis, a precancerous condition of the skin. Some primary care physicians may be appropriately trained and knowledgeable, but many are not. ...Read more

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Shave biopsy on mole. Derm used dermatoscope & said it was scratched. Biopsy not atypical w/ inflammation. Doc wanted 3 more slides to 2x check. Why?

Shave biopsy on mole. Derm used dermatoscope & said it was scratched. Biopsy not atypical w/ inflammation. Doc wanted 3 more slides to 2x check. Why?

Not sure: When you say "doc wanted 3 more slides to 2x check" I am not sure what you mean. Did you mean the doctor wanted to do another procedure on you to "confirm" the diagnosis? Or did he want the pathologist to take more sections from the same specimen? Sometimes "inflamed" moles can look pretty worrisome and the pathologist will take more samples from the whole specimen. ...Read more

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Very itchy rash w 1-2mm blister-like eruptions. Biopsy showed telangiectasia and lymphocytic infiltrates. Rash still recurring. Autoimmune? Ideas?

TMEP: It's time to see a dermatologist. Did the biopsy have mast cells as part of the infiltrate? Was a direct immunoflorescence done? Tmep is an acronym you can google and see pictures and description of the clinical course. There many potential treatments but the diagnosis is paramount before any can be started. ...Read more

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Skin tag, cancer or ingrown hair?

Skin tag, cancer or ingrown hair?

Neither: Skin tag (medical term is acrochordon) is a small benign tumor that forms primarily in areas where the skin forms creases, such as the neck, armpit, and groin. They may also occur on the face, usually on the eyelids. Acrochorda are harmless and typically painless, and do not grow or change over time. ...Read more

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Skin rash, roseola or psoriasis--what is difference?

Skin rash, roseola or psoriasis--what is difference?

Roseola: Roseola is a viral infection suffered by toddlers . The skin rash usually appears after a child's temperature has normalized after having had fever for several days, they look like tine red dots first noted on the torso and eventually spreading to the rest of the body. Psoriasis is an inherited lifelong skin condition that it is not contagious like roseola (only to toddlers).. ...Read more

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What are skin cysts, cherry angioma and dermatofibromas?

What are skin cysts, cherry angioma and dermatofibromas?

All normal growths: Skin cysts, cherry angioma and dermatofibroma are all benign (non-cancerous) skin growths. Cysts are saclike structure in the skin, which usually contains fluid or keratin material. Cherry angiomas are red blood vessels growths that we can get as we age. Dermatofibroma are brown firm scar tissue-like growths. If you are unsure about a skin spot, you should see a dermatologist. ...Read more

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Is a seborrheic keratosis is a malignant skin cancer tumor or benign?

Is a seborrheic keratosis is a malignant skin cancer tumor or benign?

Benign: Sk's are easily confused for skin cancers due to their large size, irregular shape, and being multicolored. A trained dermatologist can easily spot the difference but very confusing for patients and other doctors. People can have hundreds or even thousands of sk's on their body and they are all benign. But having these cover the body may make it difficult to monitor for skin cancers. ...Read more

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Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes.does thismean allergic vasculitis?

No: There is no involvement of the blood vessels themselves- thus not vasculitis by definition. This is a very common skin biopsy finding which has no diagnostic meaning other than ruling out a more serious condition. ...Read more

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