DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20184449

Seborrahic keratitis: a benign pigmented skin lesion management

Satish Chandra Kumar, Avinash Kumar Sinha, Saurabh Singh

Abstract


Seborrhoeic keratosis are formed from the basal layer of epidermal cells and contain melanocytes. Many terms such as senile wart, melanoacanthoma, basal cell papilloma, senile keratosis and seborrhoeic wart have been applied, but seborrhoeic keratosis is the most widely accepted term. In our case a 50-year-old female presented to the surgery OPD with a painless pigmented skin lesion 2.5cm lateral to the left lateral canthus and 1cm below the hairline of size of 4 *4cm. Pigmented lesion was from last 8 years and slowly progressive in nature and was not associated with any co morbid conditions. On clinical evaluation the clinical diagnosis of epidermal nevus was given and an excisional biopsy with rhomboid flap placement was performed and the tissue was sent for histopathological examination. Post operative period was uneventful and the histopathology report states the seborrhoeic keratosis. Hence, lesions for which the diagnosis is uncertain, based on the history and gross examination, should be biopsied for histopathologic examination to rule out malignancy.


Keywords


Benign pigmented skin lesion, BCC, Epidermal Nevus, Melanoma, Seborrhoeic keratosis, Verruca vulgaris

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References


Greenbaum AR, Chan CLH. Skin and subcutaneous tissue. In: Williams NS, O'Connell PR, Bailey MAW and Love’s Short Practice of Surgery. 27th ed. Great Britain: Taylor and Francis (Oxford);2018:599.

Girisha BS, Kamath D, Shrinath P, Harish PS. Seborrhoeic keratosis; A rare case of conductive deafness. JCDR. 2012;6:913-4.

Neville BW, Damn DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 3rd ed. Philadelphia: Elsevier;2009:374-375.

Busam KJ. Dermatopathology: A volume in the series foundation in diagnostic pathology. 1st ed. Philadelphia:Elsevier;2010:336-343.

Angioma C. Common benign skin tumors. Am Fam Physician. 2003 Feb 15;67(4):729-38.

Jackson JM, Alexis A, Berman B, Berson DS, Taylor S, Weiss JS. Current understanding of seborrheic keratosis: prevalence, etiology, clinical presentation, diagnosis, and management. JDD. 2015 Oct;14(10):1119-25.

Phulari RG, Buddhdev K, Rathore R, Patel S. Seborrheic keratosis. JOMFP. 2014 May;18(2):327.

Tsvetanov T. Seborrheic keratosis-a clinical case. Asian J Sci Technol. 2017;8(1):4147-8.

Nischal U, Nischal KC, Khopkar U. Techniques of skin biopsy and practical considerations. J Cutaneous Aes Surg. 2008 Jul;1(2):107-11.

Luen KK, Akhma RS, Azman WS. Giant seborrheic keratosis of the face-an unusual presentation. J Surg Dermatol. 2016 Apr 21;1(1):25-8.