Seborrheic keratosis ICb code 10. Skin keratosis: photo, treatment, types and types

Most frequent occurrence seborrheic keratosis is observed in individuals in whose families there were similar cases of the disease in relatives, which is the basis for the assumption of a genetic predisposition. It is realized as a result of age-related aging of the skin and can be provoked by various external and internal factors:

The degree of danger of seborrheic keratosis

Although the disease is considered a benign tumor, there is a definite connection between it and aggressive types of skin cancer:

Symptoms of the disease

The main symptoms of seborrheic keratosis are single or multiple elements, localized mainly on the back and front surface. chest, less often - on the scalp, on the neck, face, back of the hand, back of the forearm, in the vulva. Very rarely, keratomas appear on the palms and soles of the feet. Tumors often have a round or oval shape with a diameter of 2 mm to 6 cm, clear boundaries and rise above the surface of the skin, often accompanied by itching.

The color of neoplasms can be pink, yellow, dark cherry, dark brown, black. The surface structure is often similar to many small scaly warts, covered with a thin, easily removable crust that bleeds with minor mechanical damage. Over time, black dotted inclusions appear in it, it gradually thickens, reaching 1-2 cm. It is covered with a network of cracks.

Although the entire formation has a soft texture, the crust becomes more dense, the edges acquire irregular, sometimes jagged outlines. Occasionally, keratomas become spiky or dome-shaped, 1 mm in size, with a smooth surface and black or whitish grains of keratin.

Classification and characteristics of various forms

seborrheic keratosis for practical purposes, they are divided into forms:

Seborrheic keratosis, irritated

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Converters

1. Flat, having the form of a slightly raised above the skin surface and sharply pigmented flat formation.
2. Reticular, or adenoid - thin, interconnected in the form of a looped network, strands of epithelial pigmented cells. The network often includes cysts from the stratum corneum.
3. Clear cell melanoacanthoma is a rare form of seborrheic keratosis with a warty, rounded surface. It contains horny cysts and consists of keratinocytes, which are the basis of the epidermis, and pigment-containing cells - melanocytes. Melanoacanthomas occur mainly on lower limbs. They look like flat, moist plaques that clearly merge into the normal surrounding epidermis.
4. Lichenoid keratosis, which looks like a tumor with inflammatory changes. These elements are similar to mycosis fungoides, discoid erythematosis in systemic lupus erythematosus, or lichen planus.
5. Benign squamous, or keratotic papilloma of small size, consisting of elements of the epidermis and single cystic formations of horny cells.
6. Cutaneous horn is a relatively rare form of keratosis. It is more common in older people and is a cylindrical mass of horny cells protruding above the surface of the skin. It can reach large sizes. The tumor occurs in 2 forms - primary, little studied and arising without visible reasons, and secondary, which is formed as a result of inflammatory process in other skin tumor-like formations. The secondary horn is dangerous by degeneration into skin cancer under the influence of microtraumas, viral infection, hyperinsolation, etc.

Seborrheic keratosis: symptoms of the disease, pathogenesis and treatment features

Features of the disease

Seborrheic keratosis is the most common type of this disease. As a rule, the disease manifests itself and develops in people over 40 years old, and more often even 50–60 years old, for which it was called senile warts or senile keratosis. According to studies, 88% of patients over 64 years of age have at least one focus of seborrheic keratosis, in persons younger than 40 years, in 25% of cases there is at least one focus.

Neoplasms develop in the upper layer of the skin, have the most various forms and sizes. Most often skin growths small - 0.2-6 cm, the color is flesh-colored, black or brown. The spot protrudes above the level of the skin. Initially, the plaque has a shape close to oval, but with development it becomes uneven. The surface of the wart is covered with rough crusty formations and peels off. Appear as single keratomas. as well as multiple.

Warts are quite sensitive: with a slight mechanical injury, and sometimes with a simple touch, the keratoma begins to bleed. If the keratoma is damaged, you need to consult a doctor - the probability of infection is very high.

The ICD-10 disease code is L82.

By itself, seborrheic keratosis is not particularly dangerous. Even itching does not always appear. However, with the formation of warts on the face, neck, open areas of the body, the disease causes severe psychological discomfort. In addition, keratomas can "mask" the manifestations of skin cancer.

Seborrheic keratosis tends to progress. The formations grow, become darker, the surface becomes more and more rough over time. Keratonic plugs appear. With a strongly convex shape, warts cause inconvenience: they are easily damaged when removing clothes, unsuccessful movement, and so on.

Description of the disease seborrheic keratosis is given in this video:

Classification of seborrheic keratosis

• flat– plaques have a bright dark color, but slightly rise above the level of the skin. This is especially well heard during palpation - on this basis, flat keratosis is distinguished from actinic lentigo;
• reticular or adenoid. In addition to pigmented plaques, horny cysts appear on the surface. The formations form a kind of looped network;
• irritated- looks like flat plaques of the corresponding color. Histological examination reveals an accumulation of lymphocytes in the surface layer of the dermis;
• inflammatory- the neoplasm is accompanied by inflammation. As a rule, the most severe itching and peeling is observed;
• black papular- papules are smooth, dome-shaped, dark brown in color. Most often observed on the face in patients from 20 to 40 years. This is usually found in those with dark skin;
• "plaster"- a lot of light brown and gray spots of small size. The spots are flat and usually appear on the back of the hands and forearms, as well as the feet and ankles.

Seborrheic keratosis (photo)

Localization

Warts can appear on almost any part of the body: on the face, torso, limbs, scalp, even on the halos of the mammary glands. Never found on the palms, soles and mucous membranes. Black papular dermatosis is localized on the face.

As a rule, the localization of warts has no practical significance. The exception is the appearance of multiple foci, as it may be associated with acute leukemia, gastrointestinal cancer, and so on.

Causes

The mechanism by which seborrheic keratosis occurs is unknown. Its relationship with age is obvious: people over 75 have seborrheic keratosis without fail. Moreover, it can manifest itself both in the form of single formations and in the form of multiple spots.

The dependence of keratosis on solar radiation remains unconfirmed. As a rule, warts first appear on exposed areas of the body, but this is not enough to confirm the hypothesis of the negative effects of the sun. Also, the hypothesis of a viral etiology of the disease was not confirmed.

There is evidence of a genetic predisposition to keratosis: if the disease is observed in relatives, the probability of its occurrence in a patient is 100%.

However, the provoking factors today include:

• sunburn abuse;
• frequent damage to the skin of a mechanical nature;
• the action of household chemicals - aerosols;
• chronic diseases leading to malfunctions of the endocrine glands;
• abuse of fats of animal origin with a low content of vegetable fats in the diet;
• pregnancy;
• violations at work immune system, as well as taking hormonal drugs, especially based on estrogen.

Seborrheic keratosis on the back

Precancerous skin lesions- benign diseases with a high risk of degeneration into squamous cell carcinoma. These include chronic dermatitis, keratosis, chronic cheilitis, senile or cicatricial atrophy of the skin, kraurosis. Among the nosological forms, more often we are talking about senile keratoma, keratoacanthoma, leukoplakia, skin horn. A number of diseases are obligate precancer: xeroderma pigmentosum, erythroplakia.

Code according to the international classification of diseases ICD-10:

• L57.0

actinic keratosis- a rough scaly lesion of the epidermis in areas of the body exposed to constant exposure to sunlight. Appears during the 3rd or 4th decade of life; in 10-20% of patients it becomes malignant. If the biopsy confirms the benign disease, treatment consists of excision or cryodestruction. Patients with multiple lesions are shown local chemotherapy (fluorouracil).

ICD-10. L57.0 Actinic [photochemical] keratosis

Keratoacanthoma- a benign epidermal tumor of the hair follicles in the form of single or multiple spherical nodes with a crater-shaped depression in the center, filled with keratinized epithelium. Localized on the head, neck and upper limbs. The tumor progresses rapidly within 2-8 weeks, followed by spontaneous destruction. Treatment is excision with histological examination.

Nevi (birthmarks) - hamartoma-like malformations of the skin, can develop both from the elements of the epidermis and the dermis itself (connective tissue, vascular elements or melanocytes). They are pigmented formations of the skin, usually protruding above the surface. Some nevi (especially melanocytic and dysplastic ones) may become malignant. Rarely, well-defined and uniformly colored nevi are reborn.

Acanthosis blackening- dermatosis, manifested more often by benign warty keratinizing growths of black skin folds, especially in the axillary areas, on the neck, in the inguinal and anal areas. May be hereditary (*100600, В) or acquired (as a result of endocrine disorders, malignant neoplasms, drug [ a nicotinic acid, diethylstilbestrol, oral contraceptives, GC]). The course is chronic. Treatment is etiotropic. A complete oncological examination is required. Synonyms: Acanthosis nigricans, pigment-papillary dystrophy of the skin, papillary-pigmentary dystrophy.

ICD-10. L83 Acanthosis nigricans

Pigmented xeroderma(see Xeroderma pigmentosa).
erythroplakia(Keira's disease) develops rarely, more often in older men on the glans penis or foreskin. Clinically, a limited, painless, bright red nodule is detected. Initially, the node has a velvety surface, and with progression (for a long time), papillomatous formations or ulcerations appear. Surgical treatment.

ICD-10. D23 Other benign neoplasms of skin

Benign hyperkeratotic skin neoplasms in dermatology are classified according to clinical manifestations and the risk of malignancy. There are senile, seborrheic, horny, follicular, solar keratoma and angiokeratoma.
Senile (senile) keratoma. The most common form of pathology, characterized by the appearance of single or multiple brown spots from 1 to 6 cm in diameter, localized in open areas of the skin. Formations tend to grow peripherally with a change in structure. Over time, the spot becomes convex due to infiltration and proliferation of individual sections of the keratoma, loose, soft, sometimes a little painful to the touch. Later, the keratoma begins to peel off, follicular keratosis occurs inside the growing tumor with the formation of cysts of hair follicles. Injury to the neoplasm leads to bleeding, secondary infection, inflammation. Senile keratoma can self-resolve or transform into a cutaneous horn, and therefore there is a tendency to malignancy of the pathological process.
Seborrheic keratoma. neoplasia, distinctive feature which is slow growth with the formation of multi-layered crusts in the absence of weeping. The pathological process begins with the appearance of yellowish spots up to 3 cm in diameter, localized on the chest, shoulders, back, and scalp. Over time, due to disruption of the sebaceous glands in the lesion, the spots become covered with loose cortical scales, which are easily separated from the surface of the neoplasm. Seborrheic keratomas rarely remain isolated from each other, they tend to cluster and grow peripherally. Together with them, they increase in size and the crusts, which begin to exfoliate, become covered with cracks. The thickness of the cortical scales reaches 1.5-2 td. The keratoma itself acquires a brown tint, its damage causes bleeding and pain. There was no tendency to spontaneous resolution or malignancy.
Horny keratoma (skin horn). A rare tumor-like neoplasm of horny cells. First, a hyperemic area appears on the skin, in the area of ​​​​which, due to the compaction of the epidermis, a hyperkeratotic convex tubercle (up to 10 cm above the level of healthy skin) is formed, dense to the touch, with an uneven scaly surface and an inflammatory rim around the base. Most often, the cutaneous horn is a single neoplasm, but cases of multiple keratomas have also been described. Horny keratoma exists as an independent pathology or as a symptom accompanying other nosologies. It is localized on the face, in the area of ​​the red border of the lips and genitals. A distinctive feature of horny keratoma is its spontaneous malignancy.
Follicular keratoma is located around the hair follicles. The first manifestation of the pathology is a convex flesh-colored nodule with a diameter of not more than 1.5 cm with a rough surface. In the center of the formation, a cone-shaped depression, sometimes covered with a scale, is revealed. Keratoma is localized in the area of ​​hair follicles, most often on the face and scalp. Spontaneous malignancy is unlikely, but the tumor may recur even after radical resection.
Solar keratoma is a precancerous skin disease. The pathological process debuts with the appearance of many small, scaly, bright pink papules, which quickly transform into brown plaques with a wide inflammatory corolla along the periphery. The scales covering the plaques are whitish, dense, rough, but are easily removed from the keratoma when scraped. The solar keratoma is localized mainly on the face. It has a tendency to spontaneous malignancy or spontaneous resolution of the pathological process, followed by the appearance of a keratoma in the same place.

Skin keratoma is a long-known disease that is common among people over forty years of age. Information about the symptoms, signs (photo) and treatment of the disease in adults is presented in the article below.

Keratoma is a neoplasm on the human skin of a benign nature. In appearance, the keratoma resembles an oval of brown or dark brown in shape. To the touch, the formation may be rough and have a crust. The disease is most often asymptomatic, but there have been cases when keratomas itched and hurt.

Often people confuse papilloma and keratoma, thinking that they are one and the same. Outwardly, the neoplasms are a bit similar, but they have completely different symptoms and causes.

Localization of keratoma

Neoplasms are usually localized on the arms, neck, back and sometimes on the legs, especially often on the face, which causes psychological discomfort. Each patient has a different number of keratomas. For some, only one occurs, for others, their number exceeds several dozen pieces. The spread of keratoma throughout the body occurs spontaneously.

ICD-10 code

Keratoma refers to benign formations, respectively, has the ICD-10 code - D23 "other benign skin neoplasms."

Why does it appear

As we age, the skin becomes less susceptible to external factors exposure, and the cells of the epidermis begin to transform into keratinized tissues, rising above the skin.

Experts identify several main factors that contribute to the appearance of keratomas:

• age-related skin changes;
• disruptions in the immune system;
• diseases associated with the endocrine system;
• metabolic disease;
• hormonal imbalance;
• inadequate intake of vitamins and minerals;
• uncontrolled and prolonged use of antibiotics;
• skin exposure to chemicals
• wearing tight synthetic clothing;
• prolonged exposure to sunlight;
• hereditary predisposition (more often in the male line).

What is the danger

Keratoma (what is it and how dangerous it is, not every person knows) serious illness primarily because it can degenerate into a cancerous tumor. To prevent this, need to consult a qualified medical professional followed by follow-up of neoplasm development.

Of all the varieties of this neoplasm, such types as solar and horny are characterized by the greatest probability of transition to oncology.

There are several factors that can provoke the transition of a keratoma into an oncological form:

• radioactive and ultraviolet radiation;
• careless infliction of injury, including constant friction with clothing;
• incorrectly prescribed treatment.

If the keratoma has been damaged, then the healing process will be long. It is impossible to allow the neoplasm to bleed, in this case conditions are created for the penetration of infection.

How does it affect the patient's well-being

A neoplasm in the form of a keratoma in most cases does not cause any discomfort to a person if they are not located in open areas of the body.

According to statistics, the main complaints are:

• burning;
• tingling;
• cosmetic defect;
• uncomfortable wearing.

Important! Not all types of keratomas can manifest themselves, some of them are invisible to humans, especially if the localization site is not visible to the eye.

What does a keratoma look like at the initial stage

As soon as a skin keratoma begins to form, regardless of its variety, the main signs and symptoms will be the same:

1. Keratoma (photo - the initial stage proceeds almost imperceptibly - shown in the article) implies the appearance of a small spot of a pale yellow hue.
2. The stain then becomes darker in color.
3. At the next stage, the neoplasm begins to rise above the skin and resemble a wart process.
4. The last stage is characterized by the growth of the neoplasm in width and height with noticeable peeling and darkening.

Important! Keratoma cannot be scratched and removed on its own, this can lead to infection and the transition to an oncological form.

Senile (seborrheic, senile) keratoma - photo

Seborrheic keratoma, according to statistics, occurs mainly in old age, after fifty years. The causes of the disease have not been clarified, but experts say with confidence that this is a non-infectious pathology.

If the size of the neoplasm reaches more than 3 mm, then you need to constantly monitor the development process together with a medical specialist. Only he can determine the severity of the pathology and prescribe effective treatment.

The main signs of seborrheic type keratomas include the following:

• Seborrheic type keratomas can be located on all parts of the body, with the exception of the feet and palms.
• Neoplasms may be accompanied by itching or burning.

The disease develops slowly, so it is not always possible to immediately understand that this is a keratoma.

Important! If a rapid growth of the neoplasm is noticed, you should contact a qualified oncologist for a detailed examination. These changes may indicate that the keratoma is moving into the oncological stage.

Seborrheic type keratomas are determined visually at the appointment with a dermatologist. To determine the tendency to oncology, cells are sampled, namely, a histological analysis is performed.

Skin keratoma (photo, symptoms and treatment in adults are reflected in the article) of the seborrheic type is determined at several stages:

You can not ignore the treatment of senile keratoma, because. in case of injury, it can go into malignant tumor. It is this type, in comparison with others, that is most often transformed into oncology.

Other types of keratomas with a photo

There are several more types of keratomas, among them are:

• actinic;
• follicular;
• horny.

Keratoma (see photo below) of the actinic type is a disease that manifests itself after forty years. The most susceptible to this pathology are people with dry and light skin. Neoplasms have an irregular rounded shape of brown color.

In the area where the keratoma has formed, a slight tingling or itching may occur. This type of keratoma is localized in open areas of the skin. Follicular keratoma is a common disease that can occur in both children and adults. This type of keratoma also has such names as red lichen, goose bumps, dyskeratosis.

The most common locations are:

• hips,
• buttocks,
• elbows,
• lap,
• head,
• arms.

Initially, symptoms such as small blood nodules, a desire to scratch the neoplasm, and keratinization of the skin may occur.

Horny keratoma is an overgrown tissue of the epidermis. At risk are people over forty years old, because. it is after this age that the skin begins to react to the sun and external influences in a different way. This type can outgrow from the seborrheic (senile) type of keratoma.

Can provoke education:

• viral infections;
• injury to the surface of the skin;
• lupus (red or tubercular);
• prolonged exposure to direct sunlight.

Which doctor to contact

Keratoma (what it is, how to treat it is necessary to find out in consultation with a doctor) is diagnosed by a dermatologist. If necessary, he will refer you for a consultation with an oncologist. But there is no reason to panic, because. this neoplasm can be removed.

The main thing you should not hesitate with is a visit to a qualified medical specialist, otherwise you can skip the transition of the disease into an oncological form.

Diagnosis of the disease

To make the correct diagnosis, the following studies may be prescribed:

• history taking through physical examination;
• examination of the neoplasm through a dermatoscope;
• histology of keratoma;
• taking a biopsy;
• conducting an ultrasound examination of the internal organs of the patient;
• taking blood to study the hormonal background;
• immune status check.

Treatment is prescribed only by the attending physician after the studies. To eliminate the risk of malignancy biopsy is taken and performed histological examination.

Removal Methods

There are several methods for removing keratoma.

These include:

• laser removal;
• electrocoagulation;
• removal by radio waves;
• cauterization;
• using liquid nitrogen;
• surgical method of removal.

Removal of keratoma with a laser is considered the most common and the best option for the patient. This method allows you to remove the neoplasm so that there are no scars and scars. This procedure has contraindications, therefore, first of all, the patient undergoes a consultation with a dermatologist and a surgeon.

Before proceeding with the removal, the place where the keratoma has formed is lubricated with a special pain-blocking gel. The laser beam acts on the neoplasm pointwise, evaporating the damaged cells and not touching the healthy skin. The procedure takes no more than 30 minutes.

After the removal of the main formation, an additional impact is carried out laser beam, which seals the vessels and disinfects the surface so that the infection does not penetrate. A wound remains in place of the keratoma, which heals for seven days.

Contraindications for laser removal:

• poor blood clotting;
• oncological diseases;
• period of pregnancy;
• pathological processes in the respiratory organs;
• temperature;
• disruption of the kidneys and liver;
• diabetes;
• tuberculosis disease.

You can get rid of keratoma with the help of electrocoagulation. This method consists in exposing the neoplasm to an electric current. With it, the affected area is literally cut out. After removal, a crust remains at the site of exposure, under which the final healing of tissues occurs.

You can not touch the scab in rehabilitation period It will fall off on its own after 14 days. This method is most suitable for the treatment of keratomas that have not reached a large size. Keratomas are not removed by this method in prominent areas of the body, so as not to leave an ugly scar or scar.

Electrocoagulation is contraindicated in angina pectoris, arrhythmias and pressure problems.

Removal of a keratoma by radio wave is most often practiced in open areas of the body, for example, on the face. This procedure is carried out without contact with the skin. The skin is affected high temperatures, evaporating neoplasm. A crust remains at the site of exposure, which departs on its own without scars and scars on the seventh day after the procedure.

Cauterization of the neoplasm is performed using chemical substances, namely acids, alkalis and mineral salts. Today, this procedure is not relevant, as it has many contraindications and undesirable consequences.

According to statistics, people use this method at home, which is fraught with irreversible consequences. Due to an incorrectly performed procedure, a keratoma can transform into oncology.

Getting rid of keratoma with liquid nitrogen is also a popular procedure in medical practice. The procedure takes no more than two minutes. The specialist who performs the removal dips a wooden applicator, at the end of which there is cotton wool, in liquid nitrogen and presses it tightly against the keratoma for 30 seconds.

Such applications are done until redness appears around the neoplasm. You should not be afraid of such a procedure, since the sensations during the effect of nitrogen on the problem area are compared with a slight tingling or burning sensation.

After the procedure, a crust remains, which departs after a couple of days, and the wound heals after 14 days. It is not necessary to process the place where the keratoma was after the procedure.

Surgical removal of the keratoma is the standard method. The neoplasm is eliminated with a scalpel, after setting anesthesia. After removal of the keratoma, sutures are applied, which must be removed after seven days. FROM The decision is made by the doctor, evaluating the quality of the operation.

Keratoma after removal

After removal of the neoplasm, a scab appears in its place, which independently departs after a certain period of time. Most often, after the crust remains pink spot, which disappears in a month, and the skin in this place takes on a familiar look.

What drugs are used for cauterization

Keratomas are cauterized with drugs that contain such active substances, how:

• glycolic acid,
• fluoroacil,
• podophyllin,
• trichloroacetic acid.

The procedure should be carried out only in a specialized clinic. Independent application such preparations may cause chemical burns. As a result, an irreversible process of transition of a keratoma into a malignant formation can occur.

Folk remedies

Keratoma of the skin in some cases is treated with folk remedies.

Most common folk recipes for the treatment of keratoma:

Any use of folk remedies at home must be coordinated with a qualified specialist. It will help you adjust your dosage. For greater effectiveness, procedures should be carried out daily.

How to avoid the appearance of new keratomas

To prevent new keratomas from arising:

• Need to lead healthy lifestyle life and regularly take vitamin complexes. This is especially true of vitamin P. It is found in buckwheat, beans, burdock, herbs, citrus fruits.

• In addition, you do not need to abuse being in the sun on hot summer days. The skin can react in an unpredictable way and start the process of keratoma formation.
• Do not wear tight clothing, especially synthetics.
• Required to be carried out in a timely manner hygiene procedures and process skin folds cleaning them from impurities.
• If it is not possible to hide from the sun in the summer, then it is necessary to apply creams that protect from the sun. It is important to pay attention to the composition: titanium dioxide must be present among the components. It is particularly effective in protecting against the sun.

This neoplasm is benign, but you need to know that there is a risk of its transformation into a malignant one. At the same time, skin keratoma (photos, symptoms and treatment in adults are described in this article) is not a sentence, because. you can delete it without a trace.

Video about skin keratoma, its symptoms and treatment methods

What is a keratoma and how to treat it, expert advice:

Removal of keratome with nitrogen:

Skin diseases are rightfully considered one of the most extensive groups of diseases in medicine. Their list includes both mild diseases that respond well to treatment, as well as more serious ones, for example, keratopapilloma. AT International classification diseases 10 (ICD) in keratopapilloma code D23 are other benign neoplasms of the skin.

By itself, this disease may not bring inconvenience and pain, but in many cases it causes the development of skin cancer. That is why specialist supervision is necessary from the very moment symptoms are detected. What is it - keratopapilloma, how to quickly identify its symptoms and is it possible to get rid of this diagnosis forever?

Definition

First you need to figure out what it is - keratopapilloma, and how to recognize it in time. Keratopapilloma is benign neoplasm, one of the varieties of papillomas. This neoplasm often has a convex shape and is attached to the skin with a thin stalk (depending on the type). It differs from ordinary papillomas by the keratinization of the surface and the presence of peeling.

Sizes vary from quite small to large (up to the size of a hazelnut). The number of neoplasms also varies, from 1-2 to several hundred. Most often, keratopapillomas are localized on the face, neck, armpits, groin and lower back. There are also cases of keratopapilloma of the auricle in medical practice.

Reasons for the development of the disease

Patients with this diagnosis are people aged 35 years and older. This statistic is explained age-related changes occurring in the human body. Among the main causes of the disease:

• genetic predisposition (if one of the parents had keratopapillomas, in most cases the children will also suffer from this disease);
• age-related disruptions in the digestive and hormonal systems (this becomes an impetus to the growth of the skin layer);
• monotonous diet (lack of vitamins and microelements reduces immunity and leads to malfunction of individual organs);
• violations in the work of the sebaceous glands (the skin becomes dry, keratinization begins);
• the influence of UV rays;
• constant wearing of tight, uncomfortable clothing.

Clinical picture

The initial stages of keratopapilloma disease (ICD 10-D23) are accompanied by the appearance of small spots on the skin. Their color can be different: yellowish, light or dark brown. Over time, these spots increasingly begin to rise above the surface of the skin and become covered with a dense crust or roughness.

Lack of treatment leads to the fact that dozens of neoplasms grow in place of 1-2 neoplasms, covering vast areas of the skin. Many people with this diagnosis do not report pain or discomfort. In other words, keratopapilloma in some cases is considered by people only as a visual defect. Unpleasant manifestations occur when neoplasms are located at the points of contact with clothing. When rubbed with tissue, keratopapillomas begin to crack, bleed, cause itching and pain. In some cases, a benign tumor causes an inflammatory process or degenerates into an oncological skin disease.

What is it - keratopapilloma: types of disease

The appearance of the neoplasm, the development and course of the disease largely depends on the type of pathological site. With this in mind, the course of treatment of keratopapilloma is also being built. Types of neoplasms:

• Follicular keratopapilloma. This neoplasm often looks like a nodule with a small indentation in the center. It is localized in most cases on the face, in the mouth area. Individual nodules of this type are located quite close to each other.
• Senile. This type of disease is manifested by small spots on the skin that differ in color. Neoplasms do not rise above the surface of the skin, but over time they increase, acquire a loose structure.
• Horny. Most often, this type of keratopapilloma is located on the skin of the face. A distinctive feature is a very dense horny surface resembling a horn.
• Seborrheic. Visually, seborrheic keratopapilloma looks like a wart. It is clearly visible on the skin, rises above its surface. It differs from a common wart by its dark color and the presence of scales on the surface. By appearance and a photo of this type of keratopapilloma is not easy to distinguish from other types of neoplasms. Patients with this diagnosis complain of itching and discomfort in the affected area.
• Angiokeratoma. This type of disease affects the smallest blood vessels and is presented in the form of burgundy or brown spot on the skin.
• Sunny. Such a diagnosis is accompanied by small spots on the skin, which after a while become covered with a dense crust and harden. Spots are prone to growth and more often than other types of keratopapilloma become the cause of oncology.

Diagnostic methods

To prescribe an effective course of therapy, the doctor needs to conduct a thorough diagnosis with the identification of the type of keratopapilloma according to the ICD 10 code, its causes and features of the course. For this, several methods are used in medicine at once:

• Visual - an experienced dermatologist during the initial examination and, taking into account the patient's complaints, can preliminarily make a diagnosis and prescribe the additional studies necessary in this case.
• Siascopy is a procedure during which a hardware scan of neoplasms is performed for the purpose of studying (due to this, it is possible to establish a type of benign formation).

• Dermatoscopy - during the study, a device is used that works on the principle of a microscope.
• Ultrasound examination (ultrasound).
• Biopsy - a histological examination of tissues is necessary if there is a suspicion of the presence of malignant cells.

Methods for the treatment of keratopapilloma

How to get rid of the problem? Patients who have received such a diagnosis from a doctor are wondering what it is - keratopapilloma and how to treat the disease. To date, medicine offers a number of ways to quickly and effectively get rid of the manifestations of keratopapilloma. Among them:

• the use of medicines (not suitable for all cases);
• classical surgery;
• laser treatment;
• cryodestruction (exposure to liquid nitrogen);
• radio wave treatment;
• electrocoagulation (use of electric current).

The choice in favor of one or another method of therapy is made only after a thorough diagnosis. This is explained as follows: all of the above treatment options are only suitable in the absence of malignant cells. Keratopapilloma according to the ICD code refers to benign diseases. Skin cancers are treated with a laser, traditional surgical methods and radio waves. Other influences (liquid nitrogen, current) can cause rapid growth of malignant cells.

drug therapy

Drug treatment of keratopapilloma - what is it? Reception medicines prescribed by physicians general condition patients, causes and stage of development of the disease.

• Cytostatics. These medicines are prescribed in cases where there is a high risk of the transition of a benign neoplasm to a malignant one. Typical representatives of this group: "Methotrexate", "Prospidin", "Cyclophosphamide", used for local injections.
• Antitumor antibiotics.
• Local anti-inflammatory. In cases where the skin around the keratopapilloma has redness and inflammation, anti-inflammatory drugs of local action are prescribed. Diclofenac gel showed good efficiency.
• Hormonal. Such medicines allow you to cope with swelling, itching and burning. Used locally. These drugs should only be used under medical supervision.
• Mummifying and cauterizing. Seborrheic keratopapilloma is often prescribed local preparations based on concentrated acids. One of them is Solcoderm.

Surgical method

This method of treatment is considered one of the oldest and consists in removing keratopapilloma with a scalpel. Among the undoubted advantages of this method:

• universality (suitable for the treatment of benign and malignant tumors);
• efficiency - after removal of the neoplasm, the problem disappears;
• affordable price - of all the options offered, surgical removal is considered the cheapest.

Among the shortcomings, one can name the complete dependence of the result on the professionalism of surgeons, since the human factor plays a big role here.

Laser treatment

This method of exposure can be included in the list of the most modern sparing methods for the treatment of keratopapilloma (ICD 10-D23). It consists in the use of a laser beam that acts directly on the affected area of ​​the skin and does not affect healthy surrounding tissues. Depending on the characteristics of the disease, a beam of different intensity can be used. During exposure to a laser beam, neoplasm cells do not disintegrate, however, their DNA chain is broken, which leads to a stop in the growth and development of keratopapilloma. The duration of removal of keratopapilloma can vary from 2 to 10 minutes. The number of sessions depends on the complexity of the disease and the size of the affected area. To eliminate small keratopapillomas, 1 procedure is enough.

Cryodestruction

Distinctive feature this method treatment - impact on the affected area low temperatures(up to -180 degrees). Freezing can be done in two ways:

• using a special device - a cryodestructor;
• using a cotton pad with liquid nitrogen.

In the first case, the doctor brings the cryodestructor as close as possible to the affected area of ​​the skin. Per a short time the tissue is frozen, and the contents of the cells are destroyed. When using a conventional cotton pad with liquid nitrogen, it is applied strictly to the area of ​​​​keratopapilloma and removed after 3 minutes. After some time, the neoplasm exfoliates on its own, and the skin in this place is restored. This method of treatment is considered one of the most effective. There are several reasons for this:

• speed of treatment - in most cases, 1-2 sessions are enough to remove keratopapillomas;
• efficiency;
• absence of cosmetic skin defects after treatment.

Radio wave therapy

This is another way to treat keratopapilloma, which can be classified as advanced. It differs from many other methods of influence in safety for healthy tissues, because it is not a scalpel or current that is used here, but radio waves.

Undoubted advantages:

• universality - treatment with radio waves is indicated for the diagnosis of benign and malignant neoplasms (including keratopapilloma of the auricle);
• sparing effect - healthy tissues are not involved, so there are no scars and scars after the procedure;
• the ability to process all types of tissues (even mucous);
• painlessness - when treating with radio waves, anesthesia is not required.

This option is not suitable for all patients, since there are some contraindications (pregnancy and lactation, herpes infection, menstruation, allergic reactions, pustular and inflammatory formations).

Electrocoagulation

This type of treatment is based on the use of electrical current of variable or constant frequency. During the procedure, a metal electrode acts on neoplasms, and therefore a burn occurs, which is very limited in area. In other words, they affect only keratopapilloma and closely spaced blood vessels. Due to this, the neoplasm is removed, and bleeding does not occur (vessels are cauterized).

Doctors consider this treatment as one of the most effective:

• in this way, all types of neoplasms can be treated;
• the effect is achieved in 1 session;
• an anesthetic is not required to remove small keratopapillomas;
• The price of the procedure is quite affordable.

Of the shortcomings, the appearance of scars after removal should be indicated (occurs when the skin of large areas is damaged).

Treatment with folk methods

In addition to the medication course and the removal of keratopapillomas, there is another method of treatment - the use of folk remedies. They can give some effect only if the keratopapilloma has appeared recently. Older neoplasms are not amenable to such treatment. It is important to understand that before using folk remedies, it is necessary to undergo a diagnosis. How dangerous is keratopapilloma? What it is - not everyone knows. This is a benign neoplasm that can turn into a malignant stage. Time spent on self-treatment makes it difficult to get rid of the disease.

• Aloe. Aloe leaves are cut, placed in the freezer for 3 days. After that, the leaf is thawed to room temperature, cut and the pulp is applied to the affected area overnight. The course of treatment is at least 3 weeks.
• Raw potatoes. Potatoes are peeled and rubbed on a fine grater. The resulting mass is applied to the hearth, covered with a bandage and a film on top. Wash off after 40 minutes.
• Ointment based on bay leaf. To prepare the product, you will need 2 juniper and 10 bay leaves, 100 grams of butter and 10 drops of fir oil. The leaves must be carefully crushed and mixed with oils, mix. Smear the affected areas should be daily. These ingredients help against neoplasms of various types.
• Unripe walnuts. You will need 1 part unripe walnuts and 6 parts warm vegetable oil. The liquid is infused in a thermos for about a day and used for daily lubrication of keratopapillomas. Apply 2 weeks.

We considered a disease called "keratopapilloma". What it is and how to treat it is no longer a mystery. Knowing everything about this pathology, people with such a diagnosis will be prepared for therapy. At the same time, information will be useful to those who are at risk.