Seborrheic keratosis
Benign skin tumors - keratosis; Keratosis - seborrheic; Senile keratosis; Senile verrucaSeborrheic keratosis is a condition that causes wart-like growths on the skin. The growths are noncancerous (benign).
Benign
Benign refers to a condition, tumor, or growth that is not cancerous. This means that it does not spread to other parts of the body. It does not in...
Read Article Now Book Mark ArticleCauses
A seborrheic keratosis is a benign form of skin tumor. The cause is unknown.
Tumor
A tumor is an abnormal growth of body tissue. Tumors can be cancerous (malignant) or noncancerous (benign).
Read Article Now Book Mark ArticleThe condition commonly appears after age 40. It tends to run in families.
Symptoms
Symptoms of seborrheic keratosis are skin growths that:
- Are located on the face, chest, shoulders, back, or other areas, except the lips, palms, and soles
- Are painless, but may become irritated and itchy
Itchy
Itching is a tingling or irritation of the skin that makes you want to scratch the area. Itching may occur all over the body or only in one location...
Read Article Now Book Mark Article - Are most often tan, brown, or black
- Have a slightly raised, flat surface
- May have a rough texture (like a wart)
- Often have a waxy surface
- Are round or oval
- May look like a piece of bee's wax that has been "pasted-on" the skin
- Often appear in clusters
Exams and Tests
Your health care provider will look at the growths to determine if you have the condition. You may need a skin biopsy to confirm the diagnosis.
Skin biopsy
A skin lesion biopsy is when a small amount of skin is removed so it can be examined under a microscope. The skin is tested to look for skin conditi...
Read Article Now Book Mark ArticleTreatment
You generally do not need treatment unless growths get irritated or affect your appearance.
Growths may be removed with surgery or freezing (cryotherapy).
Surgery
A skin lesion is an area of the skin that is different from the surrounding skin. This can be a lump, sore, or an area of skin that is not normal. ...
Read Article Now Book Mark ArticleCryotherapy
Cryotherapy is a method of superfreezing tissue in order to destroy it. This article discusses cryotherapy of the skin.
Read Article Now Book Mark ArticleOutlook (Prognosis)
Removing the growths is simple and generally does not cause scars. You may have patches of lighter skin where growths on the torso have been removed.
Growths usually do not return after they are removed. You may develop more growths in the future if you are prone to the condition.
Possible Complications
These complications may occur:
- Irritation, bleeding, or discomfort of growths
- Mistake in diagnosis (growths may look like skin cancer tumors)
Skin cancer
Melanoma is the most dangerous type of skin cancer. It is also the rarest. It is the leading cause of death from skin disease. Other common types o...
Read Article Now Book Mark Article - Distress due to physical appearance
When to Contact a Medical Professional
Contact your provider if you have symptoms of seborrheic keratosis.
Also contact if you have new symptoms, such as:
- A change in the appearance of the skin growth
- New growths
- A growth that looks like seborrheic keratosis, but occurs by itself or has ragged borders and irregular color. Your provider will need to examine it for skin cancer.
References
Fitzpatrick JE, High WA, Kyle WL. Papillomatous and verrucous lesions. In: Fitzpatrick JE, High WA, Kyle WL, eds. Urgent Care Dermatology: Symptom-Based Diagnosis. Philadelphia, PA: Elsevier; 2018:chap 28.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Epidermal nevi, neoplasms, and cysts. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 29.
Marks JG, Miller JJ. Epidermal growths. In: Marks JG, Miller JJ, eds. Lookingbill and Marks' Principles of Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 5.
Patterson JW. Tumors of the epidermis. In: Patterson JW, ed. Weedon's Skin Pathology. 5th ed. Philadelphia, PA: Elsevier Limited; 2021:chap 32.
Requena L, Requena C, Cockerell CJ. Benign epidermal tumors and proliferations. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 109.
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Irritated Seborrheic Kerotosis - neck - illustration
This irritated seborrheic keratosis may easily be mistaken for a nevus. It is irritated, and erythematous. Treatment with liquid nitrogen is recommended.
Irritated Seborrheic Kerotosis - neck
illustration
Review Date: 11/18/2022
Reviewed By: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.