Seborrheic keratosis
Seborrheic
keratosis
Updated: 03/27/2019
© Jun Wang, MD, PhD
General
features
- Benign epidermal proliferation
- Most common benign tumor in elder population
- Unclear etiology
- Less common in people with darker skin
- May harbor FGFR3 mutation
- Squamous cell carcinoma or melanoma may arise
Clinical
features
- Sharply demarcated pigmented
- Soft, tan-black, "greasy" surface
- Commonly on trunk
- Can occur anywhere except palms and soles
Leser-Trélat sign
- Sudden appearance or increase in number and size of seborrheic keratosis
- Associated with internal malignancy
- Probably paraneoplastic phenomenon
- More commonly associated with GI malignancy
Pathological
features
- Basaloid cell proliferation
- Pseudohorn cyst
- No atypia
- May be pigmented
Management
- Removal
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