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Benign Skin Lesions Amir Ghareib Plastic Surgery ST3 North-West Deanery- MerseysideDisclaimer •No disclosure •Most of the photos were taken from dermnetnz.orgILOs •To know how to diagnose common benign skin lesions •To know what are the sinsister features to look for •To understand the basics principals of managmentOutlines •Warts •Seborrhoeic keratoses •Epidermoid and pilar cysts •Dermatofibroma •Lipoma •Common vascular lesionsWartsCommon wart (Verruca vulgaris)Plane wart (Verruca Plana)Viliform wart (digitate wart)DiagnosisTreatment •Resolve spontaneously •Unless immunosuppression, complications, patient preferenceSeborrheic keratosis (Basal cell papilloma)Seborrheic keratosis (Basal cell papilloma) •Unknown cause •Eruptive: Adalimumab •Paraneoplastic syndrome: gastric maliganacy- Sign of Leser Trelat •Variable colour and distribution •Complications: irritated and rarely skin cancerDiagnosisTreatment •If symptomaticEpidermoid (Sebaceous) cyst/ Pilar cystTreatment •If symptomaticDermatofibroma (Histiocytoma)Treatment •If symptomatic •Recurrence is commonLipomaTreatment •If symptomatic •Recurrence is common Common vascular lesions •Angioma (Haemangioma) •Telangectasia •Pyogenic genuloma •Glomus tumour •Vascular malformation/ HaemangiomaCherry angioma (Campell de Morgan spot)Treatment If symptomatic suspicious nodular MMTelangectasiaTreatment •If symptomaticPyogenic granulomaTreatment •Exclude malignancyGlomus TumourTreatmentHaemangiona/ Vascular malformationTreatmentThank you