Two years ago, I went to a dermatologist to remove a lesion on my scalp. She told me it was a mole and it will regrow again. They checked it and it was not cancerous. So yes, it will regrow again and I am worried because of the aspect. I want to be sure it is a mole, not a wart because it looks to be having papillary tissue. HPV+ aggressive type (condyloma in the genital area) eight years back. No more episodes of HPV. HIV negative and no other diseases.
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As per the photograph you have sent me (attachment removed to protect patient identity), it does look like a wart, I will make the following points, to support my observation. As you have said, they checked it and it was not cancerous. Was this told you by performing a skin biopsy or just orally? To come to a definite diagnosis of a wart skin biopsy is a must. Warts are known to occur even after removal. Warts spread to other areas of the body as well as you have given a history of condyloma in the genital area. Was a viral typing done for the genital lesion eight years back?
1. HPV in care of wart.
2. Congenital in case of nevus.
Skin biopsy.Differential diagnosis:
Verruca vulgaris, sebaceous nevus.Probable diagnosis:
Verruca vulgaris.Treatment plan:
Removal of the lesion surgically, or by using radiofrequency or Co2 laser.Preventive measures:
Try not to remove it with your fingernails, if it is a wart, it will spread to other areas.
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