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Q. What is the papillary growth on my scalp?

Answered by
Dr. Gauri Kshirsagar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 16, 2019

Hi doctor,

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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Hi,

Welcome to icliniq.com.

Thanks for posting your question on icliniq.

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?


The Probable causes:

1. HPV in care of wart.
2. Congenital in case of nevus.

Investigations to be done:

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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