RT Book, Section A1 Smith, Mindy A. A1 Usatine, Richard P. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164360803 T1 Seborrheic Keratosis T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164360803 RD 2024/04/23 AB An elderly woman noted growth of a lesion on her chest (Figure 164-1). She was afraid that it might be melanoma. Her family physician recognized the typical features of a seborrheic keratosis (SK) (stuck on with visible horn cysts) and attempted to reassure her. Dermoscopy was performed, and the features were typical of an SK; the physician was able to convince the patient to not have a biopsy (Figure 164-2). The black comedo-like openings and white milia-like cysts are typical of an SK and can be seen with the naked eye in this case, and even better with a dermatoscope.