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.



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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