Benign or benign skin lesions are non-cancerous skin growths that appear in each of us, regardless of age.
Benign lesions can be classified according to cellular origin: melanocytic, keratinocytic, vascular, fibrous, oily, and so on.
Benign or benign skin lesions are non-cancerous skin growths that appear in each of us, regardless of age.
What are the features of benign skin lesions?
Common features of benign skin lesions include:
Benign lesions can be classified according to cellular origin: melanocytic, keratinocytic, vascular, fibrous, oily, and so on.
What are the common melanocytic lesions?
Common benignskin lesions of melanocytic origin include ephelides (freckles), lentigo simplex and melanocytic nevus (mole).
Ephelides or freckles are genetically determined, well-defined, small brown macules 1-4mm in diameter. They are mostly found on photoexposed parts of the body such as the face and forearms.
Lentigo simplex is a hyperpigmented skin lesion that is not caused by the sun. Clinically, it is a well-defined, uniform, brown to black macula located on the mucous membranes or skin including the palms and soles of the feet. It develops during childhood or early adulthood.
A melanocytic nevus can be histologically classified as a junctional, complex or dermal nevus depending on the location of the melanocyte nest in the skin.
The junctional nevus has melanocytes in the area of the epidermal basement membrane. Clinically, it is a pigmented, well-defined macula (at skin level) with regular but pale edges.
The number and appearance of junctional nevi depend on sun exposure, fluctuating hormone levels, and immunosuppression.
A complex nevus has melanocytes in the area of the epidermis, but also of the dermis, which is clinically manifested as a pink or brown papule (above the skin level) in the shape of a dome surrounded by macular pigmentation. Most such nevi are formed during childhood.
The dermal nevus is characterized by melanocyte cells in the area of the dermis. Clinically, it also looks like a raised papule, brown, blue or black in color, or it can be skin colored. This type of mole is formed in childhood, but they mature during early adulthood.
The most common benign keratoses include solar lentigo and seborrheic keratosis.
Solar lentigo is a pigmented spot (macula) caused by the sun. They vary from small to large and are usually yellow-brown to brown-black with a uniformly pigmented color and a sharp edge. They occur in adulthood and are very common in the elderly population.
Seborrheic keratosis has a cloudy, warty or waxy surface with a classic appearance as if it were glued to the surface of the skin. The shape and structure are often irregular and vary over time. They can be yellow, brown to black, or they can consist of several colors.
An epidermal cyst is a follicular node with a central opening. This type of cyst can be skin-colored to almost white and presents a dome-shaped papule or nodule above skin level. Cheesy or yellowish keratin can be squeezed out through an opening on the surface or removed by surgically incision of the cyst. An epidermal cyst is lined with flat epidermal cells and has a granular layer surrounding laminated keratin.
Corns (small sensitive papules) or calluses (thickened insensitive plaque) are localized areas of thickened skin caused by pressure, most often in the area of the feet.
Secereal hyperplasia occurs in the area of the forehead and cheeks of adults. It consists of one or more dome-shaped papules with a central umbilication. On dermoscopy, uniform yellow lobules are seen.
Frequent benign skin lesions of vascular origin are angioma and pyogenic granuloma.
Angioma occurs due to the proliferation of endothelial cells of the capillaries. The superficial angioma is bright red in color, and the deeper one is purple or blue. Usually nodular or macular lesions are of different sizes.
Pyogenic granuloma usually occurs as a vascular response to some trauma or bacterial infection. Clinically, it manifests itself as a fast-growing nodule in the area of the fingers, feet or on the skin of the face, yellow to purple in color with marginal scaling.
The most common fibrous skin lesion is dermatofibroma.
Dermatofibroma is a reactive lesion that presents as one or more dermal papules, palpation. It can be pink to brown in color and creates a dent when squeezed.
Lipoma is the most common benign soft tissue tumor. It presents itself as a soft, rubbery, free-moving mass that is usually found on the back, neck, or torso. Skin biopsy shows white fat tissue in the subcutaneous layer
All these methods have their advantages and disadvantages, and most often several treatment modalities are combined to achieve the best results.
At the Lohuis Filipović Polyclinic, we have adapted everything to the patients. You will be greeted by courteous staff, a professional approach and, finally, the most competent methods of work.
We do all this so that you feel as comfortable as possible in our clinic and in safe hands, in the hope that when you leave our clinic you will forever forget the problems you originally came to us with.
For a consultation and examination with our expert team, you can contact us by phone at +3851 2444646 or via our online form.
The main goal of LF Polyclinic is to improve the quality of life and health of our clients by providing them with top-notch healthcare services.
