Skin & Soft Tissue: Seborrheic Keratosis

Basics

• Benign Proliferation of Immature Keratinocytes
• Most Common in Elderly

Presentation

• “Stuck On” Appearance
• Round & Well-Demarcated
• Hyperpigmented Verrucous Surface
• Most Common Site: Trunk

Diagnosis

• Mostly Clinical (Based on History and Physical Exam)
• May Consider Skin Biopsy if Uncertain or to Rule Out Malignancy

Treatment

• Generally Require No Treatment
• Indications for Treatment:
  • Parent Preference (Cosmesis)
  • Symptomatic
• Treatment Options:
  • Cryotherapy – Most Common
  • Curettage/Shave Excision
  • Electrodessication