Benign skin lesions

• Melanocytic
• Keratinolytic
• Vascular
• Fibrous
• Fat
 Melanocytes

• Lentigo simplex • Melanocytic naevus

Lentigo simplex

Melanocytic naevus
• Well-defined small • Not sun-induced. It has • AKA a MOLE
Ephilis

brown macules with the the following • Many types of naevus…

following characteristics:
characteristics:
• Well-circumscribed,
• 1–4 mm in diameter uniform brown to black
• Tan or brown colour macule
• Located in areas • Located on mucous
exposed to the sun such membrane or skin,
as the face and including palms and
forearms soles
• Develops during
childhood or young
adult life
 Keratinolytic
• A Solar lentigo is a sun-induced
pigmented macule.
• vary from small to large size
and are usually tan to brown-
black.
• The lesions are mostly
uniformly pigmented with a
sharp border.
• Arise in adult life and are
prevalent in older people
• Seborrhoeic keratosis- warty
plaque.
• a classical stuck-on appearance.
• The shape and structure are
often irregular and varies over
time.
• They can be yellow to brown to
black in colour or made up of
several colours.
• Epidermoid cyst is a follicular
nodule with a central punctum.
• This type of cyst can be skin-
coloured to off-white and is a
dome-shaped papule or nodule.
• Cheesy or yellowish keratin can
be expressed through the
punctum or removed by incising
the cyst.
• The epidermal cyst is lined with
flat epidermal cells and has a
granular layer surrounding
laminated keratin
 Keratinolytic

• A corn (small • Sebaceous

tender papule) or hyperplasia
callus (thickened occurs on the
non-tender forehead and
plaque) is most cheeks of adults.
often located on
a pressure area • It presents as one
of the hand or or more dome-
foot. shaped papules
with central
umbilication.
 Vascular
• An angioma is due to
the proliferation of the
endothelial cells.
• A superficial angioma is
a bright red colour and a
deeper angioma is
purple or blue.
• Angiomas are commonly
nodular or macular
lesions of varying sizes.
• A pyogenic granuloma is
a vascular response to
trauma and bacterial
infection.
• It presents as a rapidly
growing friable nodule
on fingers, toes, or facial
sites.
• They have a yellow to
violaceous colour.
• The pyogenic granuloma
is surrounded by a scaly
collarette
Fibrous
• Dermatofibroma is a reactive
lesion that presents as one or
more firm dermal papules.
• The dermatofibroma is pink, tan
or brown.
• A skin biopsy shows
fibrohistiocytic cell proliferation
with entrapment of collagen at
the periphery
The lipoma is the most
common benign soft-
tissue tumour.

A lipoma presents as a
soft, rubbery, freely
mobile mass that is
usually found on the
back, neck, or trunk.

Skin biopsy shows white

adipose tissue in the
subcutaneous layer
 acrochordon
aka skin tag
• An acrochordon is a
soft, fleshy papule that
is almost always
pedunculated.
• They vary in diameter
from 1 to 6 mm.
• On biopsy, there is a
fibrovascular core
covered by normal
squamous epithelium
Hey doc, can you look at this for me?
45 year old male

Started noticing this small black spot developing on his cheek

Not sure how long it has been there – friend recently had melanoma
Works on a grape farm and always wears a hat, but no sunscreen.
References:
• https://www1.racgp.org.au/ajgp/2019/june/benign-pigmented-skin-l
esions#:~:text=Benign%20pigmented%20skin%20lesions%20are%20e
xtremely%20common%20in%20general%20practice,that%20are%20n
ot%20completely%20typical
.
• Dermnet