NIC Esthetician Written ExamSkin Analysis and ConsultationMedium
A client presents for a skin analysis, and the esthetician observes numerous small, dark, raised lesions that appear 'stuck on' the skin, primarily on the temples and forehead. The client confirms they have been present for many years and have grown slowly. What is the most likely identification of these lesions?
- AActinic keratoses
- BNevus (moles)
- CBasal cell carcinomas
- DSeborrheic keratoses
Show answer & explanationAnswer & explanation
Correct answer: D. Seborrheic keratoses
Seborrheic keratoses are common benign epidermal growths that often appear as 'stuck-on' waxy, scaly, or crusty lesions, varying in color from light tan to dark brown or black. They typically grow slowly and are common on the face and trunk, matching the description.
Why the other options are wrong
- A. Actinic keratoses are rough, scaly patches caused by sun exposure, not typically 'stuck-on' or deeply pigmented.
- B. Nevus (moles) are usually uniformly colored, flat or slightly raised, and rarely have the 'stuck-on' appearance described.
- C. Basal cell carcinomas are malignant and typically appear as pearly, translucent nodules with rolled borders, not usually 'stuck-on'.
Seborrheic Keratosis
A common, benign, non-cancerous skin growth that often appears waxy, scaly, or crusty with a 'stuck-on' appearance.
- Vary in color from light tan to black.
- Commonly found on the face, chest, back, and scalp.
- Usually harmless, but can be mistaken for melanoma.
- Increase in number with age.
Memory trick: Benign spots are usually just 'stuck on' or a simple mole.