Dawaa Reference

Clinical reference

Benign, Uncertain, or Carcinoma-in-Situ Skin Neoplasm

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) - condition scope only, no dose · No dose - no medicine is given for this in primary care · Seborrheic Keratosis - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK545285/

Verified against1 document
  • No dose - no medicine is given for this in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (3)

  • Usually causes no symptoms at all
  • Itching or mild pain when a lesion is inflamed or chafed by clothing [itching]
  • Burning and itching in old lesions that flare up during chemotherapy [itching · skin lesions]

Signs — what you find (7)

  • Dull, waxy, warty surface giving a stuck-on look
  • Color ranges from light to dark brown, yellow, or grey
  • Spares the palms, soles, and mucous membranes
  • Tends to cluster on the face, scalp, trunk, underarm folds, arms, and legs
  • Lesions on the back can form a Christmas-tree pattern along Blaschko lines [skin lesions]
  • Stucco variant shows small white fine papules on the feet and ankles [papules]
  • Dermatosis papulosa nigra shows brown to black facial and neck papules that increase with age [papules]

Tests (3)

  • Diagnosis is made by examining the lesion, not by lab testing
  • Dermoscopy can show comedo-like openings, milia-like cysts, and hairpin vessels
  • Biopsy is reserved for lesions that are ulcerated, rapidly enlarging, or very large

If not this — what else fits (5)

  • Malignant melanoma, including collision tumors that mimic the stuck-on look
  • Pigmented actinic keratosis, basal cell carcinoma, or squamous cell carcinoma on sun-exposed facial skin
  • Epidermal nevus or acanthosis nigricans can resemble the lesion
  • Common warts (verruca vulgaris) can closely resemble hyperkeratotic lesions
  • Genital or perineal stuck-on lesions may actually be condyloma acuminata

SourceStatPearls "Seborrheic Keratosis" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (ASSESSMENT & ADVICE)

1st line
Adult dose and duration

Broad category covering benign skin growths, premalignant lesions, and skin tags where histology is not yet available or malignancy is uncertain; the GP manages reassurance and removal of simple lesions such as skin tags, while referring anything with a suspicious feature for biopsy. - Assessment and advice

Paediatric dose

Children follow the same pathway: assessment, explanation and follow-up. No primary-care medicine is implied.

Dose source

No dose - no medicine is given for this in primary care

Why

Broad category covering benign skin growths, premalignant lesions, and skin tags where histology is not yet available or malignancy is uncertain; the GP manages reassurance and removal of simple lesions such as skin tags, while referring anything with a suspicious feature for biopsy.

Cautions
  • No medicine is prescribed for this in primary care. The value of the consultation is recognition, explanation and follow-up, and referral if the red flags above appear.
  • RED FLAG - A lesion that is changing, bleeding, ulcerating or growing rapidly may be malignant and needs referral rather than reassurance.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.