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Male patient, 73 years old, had a previous history of skin cancer, with diagnosis of
Melanoma 30 years ago, and BCC 4 years ago; has been excised. 10 years recently,
patient come for regular total body skin check once a year. No one in the family has a
related disease and the patient’s job does not expose to direct sunlight. The patient
uses sunscreen and sun-protective clothing when going out. There are about 50
pigmented lesions on the skin.

The most recent examination revealed a new Seborrheic keratosis lesion.
Although it is not painful and does not affect your health, if the nodule is large,
unsightly appearance, or is in a location prone to friction and bleeding, you can
consider removing it.

A seborrheic keratosis grows gradually. Signs and symptoms might include:
– A round or oval-shaped waxy or rough bump, typically on the face, chest, a
shoulder or the back.
– A flat growth or a slightly raised bump with a scaly surface, with a
characteristic “pasted on” look.
– Varied size, from very small to more than 1 inch (2.5 centimeters) across.
– Varied number, ranging from a single growth to multiple growths.
– Very small growths clustered around the eyes or elsewhere on the face,
sometimes called flesh moles or dermatosis papulosa nigra, common on Black
or brown skin.
– Varied in color, ranging from light tan to brown or black.
– Itchiness.

See your doctor if the appearance of the growth bothers you or if it gets irritated or
bleeds when your clothing rubs against it. Also see your doctor if you notice
suspicious changes in your skin, such as sores or growths that grow rapidly, bleed and
don’t heal. These could be signs of skin cancer.

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