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Common Skin Growths Newnan | Non-Cancerous Dermal Excisions Peachtree City
The following is a brief overview of some of the common skin growths that we see in our Newnan and LaGrange offices. This is meant to be used as an educational resource for our patients only.
*No republication or reuse of this content is permitted without the expressed written consent of Surgical & Cosmetic Dermatology, PC.
ACTINIC KERATOSIS – a skin growth that occurs as a result of chronic cumulative sun exposure. It usually presents as a scaling, sandpaper rough spot(s) which does not heal and is often tender. It is estimated that up to 5% of these lesions can develop into squamous cell carcinoma.
ANGIOFIBROMA – a benign skin growth, referred to as a fibrous papule, which is often found on the nose. Lesions can be cosmetically removed with a shave removal or laser. They are often confused with malignant basal cell carcinoma.
ATYPICAL NEVUS (DYSPLASTIC NEVUS) – refers to a benign pigmented growth which has the potential to develop into or serve as a warning sign for the development malignant melanoma. Atypical moles can be graded into mild, moderate or severe subtypes. Although technically benign, we usually recommend that moderate and severe atypical nevi be removed.
BLUE NEVUS – an acquired benign, firm dark blue to gray skin growth which appears blue because of the accumulation of dark pigment in the deeper portions of the skin. These growths can be subdivided into common, cellular and combined subtypes. Blue nevi are sometimes removed due to their close resemblance to malignant melanoma lesions.
BECKER’S NEVUS – an acquired benign unilateral, hairy brown patch of skin that usually occurs on the body. It is commonly found on the shoulders and most often occurs in adolescent males. Becker’s nevi can be treated with laser surgery.
CAFÉ’ AU LAIT SPOT – well circumscribed tan spots that range from 1 to 20 cm in diameter. These tend to occur over the face, arms or legs and are benign. We can remove these lesions using our Nd Yag laser. The spots are brown because of an increase in the number of pigment cells in the skin.
CHERRY ANGIOMA – benign growths which are commonly found on the skin. Cherry Angiomas are also referred to as “Cherry Moles” or Campbell De Morgan spots. They are comprised of small capillaries and can be treated using pulse dye or KTP lasers.
DERMATOFIBROMA – a firm, benign bump on the skin with a positive “dimple” sign. Often these growths result from an insect bite reaction, trauma or an ingrown hair follicle. Patients often note these growths when shaving or bathing. Unless the growth is painful or inflamed, no treatment is usually needed.
DIGITAL MUCOUS CYST – benign cysts that usually occur on the distal finger joints and result from connective tissue degeneration or trauma. Mucous Cysts contain a clear viscous fluid. They may form in an arthritic joint and sometimes an orthopedic evaluation and X –ray is necessary. Treatment is often carried out with surgical excision and electrocautery.
ECCRINE/APOCRINE HYDROCYSTOMA – these growths are derived from either sweat glands (ECCRINE) or odor glands (APOCRINE). Lesions are usually solitary and may increase in size. Apocrine hydrocystomas usually have a bluish hue and can be confused with basal cell cancer. Because of the underlying concern for malignancy, we usually recommend that these growths be surgically removed.
EPIDERMOID CYST – this growth is the most common skin cyst and presents as a firm round bump with a central pore White to yellow cheesy exudates can be expressed from these pores. Epidermoid cysts can occur on the face, back, or legs. When inflamed, they can be surgically removed.
LIPOMA – a benign fatty growth that presents as a soft, moveable swelling underneath the skin. Some lipomas can enlarge to a significant size. They often occur on the neck, trunk and extremities. Removal is carried out with simple surgical excision or liposuction.
LICHEN SIMPLEX (PRURIGO NODULE) – refers to a localized, benign growth of the skin which occurs in response to trauma and repeated scratching. The skin becomes extremely sensitive to the touch due to a proliferation of nerve tissue in the skin. Stress, anxiety and friction are exacerbating factors. Treatment involves the interruption of the “itch-scratch” cycle and corticosteroid creams or injections.
MILIA – small white to yellow bumps that can occur over the eyelids, cheek or forehead areas. Lesions are removed through an extraction technique or warm compresses. Some of these growths resolve spontaneously.
MOLLUSCUM CONTAGIOSUM – refers to a benign growth(s) that is caused by a poxvirus infection. These growths are often seen in young children and usually resolve spontaneously. Molluscum lesions have a central “depression” and are often confused with warts. Treatments include: duct tape application, “nicking” the growth with a fine needle, topical acids, or oral cimetidine.
MUCOCELE – a single dome shaped translucent blue to white cyst which contains a clear viscous fluid. Growths are usually located on the inner surface of the lower lip or the inside floor of the mouth. Mucoceles usually result from ruptured or obstructed oral salivary glands. Treatment is usually carried out with surgical removal.
NEUROFIBROMA – refers to a benign skin growth that derives from nerve and fibrous tissue. When multiple lesions are present, one must consider the diagnosis of Neurofibromatosis, an inherited disorder. Growths are sometimes removed due to disfigurement or pain.
NEVUS (COMPOUND) – benign mole which is symmetrical and raised. Compound nevi usually develop in early years. Some nevi lose their pigment or become smaller with time. Unless they are inflamed or irritated, their removal is usually considered cosmetic.
NEVUS (CONGENITAL) – a birthmark which can occur in up to 1 percent of all infants. Congenital nevi are defined by their size, i.e., small (20 cm). The risk of melanoma development increases with the size of the growth, e.g., up to a 6% malignancy rate can be seen in large congenital nevi.
NEVUS (HALO) – refers to a benign mole that is encircled by a rim of white skin pigment. Halo nevi occur within the first 30 years of life. They can be associated with vitiligo and, rarely, malignant melanoma. No treatment is needed unless the mole “changes”.
NEVUS (INTRADERMAL) – Intradermal nevi are also benign raised growths but, unlike compound nevi, they do not usually have pigment and appear flesh toned in color. Unless they are inflamed or irritated, their removal is usually considered cosmetic.
NEVUS (JUNCTIONAL) – benign skin growth which is symmetrical and flat. Junctional nevi develop in the early growth years and may lose their pigment with time. Pregnancy can have the opposite effect and the growths may become darker and larger. Lesions can be removed with laser. They should be monitored for itching, bleeding or a change in color or size.
NEVUS SPILUS – a benign growth consisting of two components. 1. The dark spots or “Spilus” refers to the benign mole or nevus component while the 2. larger tan area is comprised of a lentigo simplex. This growth is seen in 3% of all patients. Though melanoma can rarely occur in a nevus spilus, no treatment is usually required. Lesions should be monitored for change.
PILOMATRICOMA – refers to a benign tumor commonly found on the face, scalp or trunk. These growths are often hard nodules and are sometimes confused with cysts. Pilomatricomas derive from hair matrix cells. Sometimes they can be associated with disorders such as hair loss, Raynaud’s phenomenon and myotonic dystrophy.
PYOGENIC GRANULOMA – a rapidly developing papule which bleeds easily and is friable. Usually these growths form after a trauma such as a skin burn or insect bite. Pregnancy can also promote the development of these growths. Treatment can be carried out with gentle cautery, shave removal and/or corticosteroid injections.
SEBACEOUS HYPERPLASIA – this growth in seen in patients with oily skin. Lesions are reminiscent of round “doughnuts” with a central depression and occur where oil gland numbers are in excess. They often develop over the forehead, nose, and cheek areas. Lesions can be removed with a CO2 laser, chemical peels, photodynamic therapy or gentle cautery.
SEBORRHEIC KERATOSIS – this growth is perhaps the most common seen in our practice. Lesions are inherited and do not usually form until the age of 30. SKs may be few or multiple. They can sometimes be confused with malignant melanoma. Removal is completed with shave removal and is covered by insurance when they are actively inflamed, enlarging or painful.
SKIN TAGS – soft polyp-like growths which form where friction or rubbing occurs. They are often seen in areas such as the neck, underarms, groin and breasts. Skin tags can become tender or inflamed after trauma. Removal can be carried out using light electrocautery or gradle scissor removal. Their removal is usually considered cosmetic.
SOLAR LENTIGOS – (liver spots, age spots, “wisdom spots”)-flat tan brown spots that usually occur on the hands and face. They form by the sun’s stimulation of pigment in the skin. Solar lentigos can sometimes evolve into seborrheic keratosis. We can readily remove these growths using laser surgery.
SPIDER ANGIOMAS – are usually found on the face and trunk and consist of blood vessels which radiate from a central arteriole. Lesions can be treated using laser surgery or gentle cautery. Spider Angiomas can enlarge or become more numerous with liver disease and/or pregnancy.
STUCCO KERATOSES – refer to small white warty growths on the lower extremities that resemble stucco. They appear with a higher frequency in males; however, they are not inherited genetically. Usually, multiple lesions are found.
SYRINGOMA – these benign growths develop from sweat glands. Lesions can occur around the eyes, face, chest and groin. Though syringomas are disfiguring, they can be removed with CO2 laser or light cautery.
TELANGIECTASIA – dilated small blood vessels, usually found on the face, which can be associated with rosacea or other systemic disorders. Lesions can increase in size due to heat, estrogen intake, and alcohol ingestion. They can be cosmetically treated with laser and/or electrocautery.
VENOUS LAKE – dark blue-to-purple compressible papules caused by the dilation of small veins. They are easily compressed and tend to occur on sun-exposed skin, e.g., the ears and lips of elderly patients. Although venous lakes are benign, they can mimic skin cancer in certain instances.
WART – a benign growth that is caused by a papilloma virus infection. Treatment can be difficult and may require laser, duct tape or medications which boost the immune system e.g., cimetidine
WEN CYST – the second most common cyst that derives from the hair follicle. Overlying hair growth is normal. These lesions are often found on the scalp and present more commonly in women. Treatment can be carried out with simple surgical excision.
XANTHELASMA – yellow plaques that found on the skin surface of the upper and/or lower eyelids. They are caused by tiny deposits of fat in the skin and can be associated with abnormal blood fat levels. They can be treated with surgical excision or laser.
Is it a Wart or Skin Cancer?
Finding any new bumps, moles, warts, or skin tags can be unnerving and it’s not uncommon to quickly move to the idea that it might be cancerous.
Cancer is about prevention and knowledge, so becoming aware of the facts and the signs and symptoms is the first step to taking control of your health and wellness. Additionally, understanding your resources and skin cancer natural treatment options will help you to more effectively fight the disease should you find that you have it.
If you’ve discovered a new skin growth and are wondering whether it’s a wart or skin cancer, the first step is to know the differences between the two. Let’s take a closer look at a wart vs skin cancer, so you can learn how to tell if it’s cancerous or not.
What Exactly is a Wart?
Warts can appear on any area of the body and are caused by viruses in the human papillomavirus (HPV) family. There are over 40 different types of HPV and the virus can be transmitted from one person to another by direct or indirect contact.5
The common wart can vary in appearance depending on where they’re located on the body and how thick the skin is in that particular region. This skin growth can look like a small cauliflower or solid blister— and specific types include common warts, flat warts, pigmented warts, and plantar warts. 1
- Common warts: These are rough, raised bumps that appear on the hands, fingers, or elbows. They can cause pain and are sometimes prone to bleeding (this is good to note, as cancerous warts will also bleed). In most cases, the common wart is slighter greyer compared to the rest of the skin.
- Flat warts: These dark and slightly raised lesions can pop up anywhere throughout the body. This common skin problem is small, flat, and usually goes unnoticed.
- Plantar warts: These are hard and tend to occur on the ball of the heel or the foot which can lead to discomfort. Unlike other types of warts, plantar warts grow into the skin, not outside of it. While a plantar wart is not dangerous, it can cause discomfort while walking.
- Oropharyngeal warts: Coming in different shapes and sizes, these can be found on the tongue, cheek, or oral surfaces. Typically, they aren’t painful.
Often, warts can disappear within 1 to 5 years without any treatment at all. If warts are large or found in sensitive areas, treatments range between salicylic acid, cryotherapy, duct tape, surgery, electrocautery, laser treatment, photodynamic therapy, chemical treatments, topical creams, cantharidin, and antigen shots. 1
Most warts are benign, though certain strains of HPV can lead to warts on, in, or around the genitals (which can potentially lead to certain types of cancer). For this reason, it’s suggested that anyone who discovers genital warts should see a doctor for an assessment. To reduce the risk of catching or spreading warts don’t touch other people’s warts, share personal items, scratch warts, brush or shave the hair in areas that have them, or bite your fingernails if warts are nearby. It’s also a good idea to wear sandals when you’re entering and leaving communal showers and pools. Now that you know what exactly a the common wart is, you’ll be better able to tell whether a growth is a wart or skin cancer. 1 If you are still having trouble deciphering whether or not your skin condition is cancerous, talk to your dermatologist for further examination.
What Is a Skin Tag?
Another common skin problem, skin tags are a flap of skin that form from friction. Whether it’s skin rubbing against skin or a hard fabric, skin tags first appear as a small bump and can increase in size the more they are agitated. These skin cells will continue to cluster together until the small formation appears to be barely hanging on. While skin tags aren’t dangerous, they can cause irritation. If you do not like the sight of your skin tag or it is painful, your doctor can remove them.
Natural Options for Wart Removal
After you’ve checked with your health care professional about whether or not your particular growth is a wart vs. skin cancer, you might be interested in exploring some natural options for wart removal. Although HPV and warts can be a source of embarrassment for some, rest assured that you’re not alone. About 1 in 4 people in the United States are affected by HPV.6
Here are some natural options for wart removal that have shown promising results.
- Tea tree oil: Tea tree oil (or Melaleuca alternifolia) has antimicrobial and exfoliating properties. In a small study, it was found that topical wart treatments with tea tree oil reduces warts.
- Apple cider vinegar: A popular wart removal treatment with apple cider vinegar calls for soaking a cotton ball in the vinegar and applying it to the skin before bedtime. Protect the wart and keep the cotton ball in place by using a piece of tape or a bandage. Remember that apple cider vinegar is acidic, and can cause irritation in some people.
- Echinacea: Also called the purple coneflower, it’s been shown that taking echinacea as an oral supplement or tea can help reduce the incidence of warts.
- Ficus carica: In study participants, a latex from this type fig tree helped to reduce the occurrence of warts.
- Garlic ointments: Garlic ointments have been shown to reduce warts when applied topically.
What is Skin Cancer?
Skin cancer is caused when cells in the body grow exponentially. The two more frequently diagnosed types of skin cancer are basal cell and squamous cell carcinomas, which are highly treatable, followed by malignant melanoma which is more dangerous.4
When it comes to skin cancer, one of the most important tools we like to share is to spread the word of the ABCDE rule. This rule will help you stay alert for some of the common signs and symptoms of malignant melanoma. The first signs of melanoma usually present themselves in existing skin moles. So whether you’re analyzing a wart, a mole, or anything else related to the skin, keep the ABCDE rule in mind and perform a monthly self check-up. 3
- Asymmetry: If one part of the mole or mark doesn’t match the other, this is a cause for concern.
- Border: If the edges of the marking are notched or irregular, this is a warning sign.
- Color: Keep track of whether or not the color is not the same all over, and includes shades of brown or black with irregularities in color of pink, red, white, or blue.
- Diameter: Take note if the spot is bigger than a pencil eraser — or larger than about 1/4 inch across.
- Evolving: Notice if the mole is changing in shape, size, or color.
Keep in mind that the best way to minimize your risk of developing skin cancer is to protect your skin. Wear a daily sunscreen, limit times outdoors during peak sunshine hours, avoid tanning beds, and opt for a wide-brimmed hat and shady spots.
Differences Between a Wart and Skin Cancer
While warts tend to be harmless, it’s crucial to note that skin cancer takes on many different forms. Abnormal looking skin moles, freckles, and warts can often be skin cancer in disguise, so it’s important to know how to tell if a wart is cancerous. 2
After basal cell, squamous cell carcinoma is the most common type of skin cancer. This particular type of cancer forms when the squamous cells begin to grow uncontrollably in the epidermis (or top layers of the skin). There are lots of symptoms squamous cell carcinoma exhibits — among them, a wart-like growth. One of the main factors to pay attention to when analyzing skin cancer that looks like a wart, is to ask yourself the question — does it bleed or crust? Warts are typically painless and will not crust or bleed, however, with skin cancer they typically will.
Squamous cell carcinoma tends to first appear as a red and scaly plaque of skin. It may get larger and form a sore or it may show up as a red, hard bump that doesn’t go away.The skin lesion might itch or burn and tends to appear in areas that have had the most sun exposure like the lips, arms, legs, face, ears, and top of the hands. The good news is that if squamous cell carcinoma is caught early, it can be treated effectively.
Basal cell carcinoma is the most common type of skin cancer and occurs from abnormal growth of basal cells. Basal cell carcinoma, another type of non-melanoma skin cancer, can also tend to look like a wart, as it typically shows up as a small, pearly bump.
If you have a bump that persists, especially if it crusts or bleeds, it’s time to see the doctor for a diagnosis so you can be treated. As we like to say — when in doubt, get it checked out. A doctor can perform a biopsy to let you know if it’s a wart, skin tag, or skin cancer. Early detection of identifying skin cancer can reduce potential risk factors later on. After diagnosis, there are several treatment options, ranging from laser cancer treatment to whole-body hypothermia.
What to Do Next
Becoming aware of how to tell if a wart or skin tag is cancerous is the first step. If you’ve visited your doctor and received a diagnosis, the next step is to discuss whether or not you’ll need surgery or if you’re interested in a skin cancer alternative treatment plan.
At Immunity Therapy Center, we specialize in alternative cancer treatments to help you fight your battle with cancer. Our skin cancer natural treatment program is designed to stimulate your immune system so that it can help fight cancer cells. We combine diet with natural, non-invasive, therapies that will work against your cancer cells’ weaknesses.
Always remember that the next best step is to stay hopeful. If you have questions or are interested in learning more about natural remedies for skin cancer or what we do, feel free to reach out to Immunity Therapy Center today. With a dedicated and enthusiastic staff, we’ll be happy to welcome you into our holistic cancer treatment center with a program that is 100% customized and personalized.
For now, be sure to check your warts, consult your doctor, and remember that Immunity Therapy Center is here to help keep you informed.
- medicalnewstoday.com. How to Treat a Wart https://www.medicalnewstoday.com/articles/155039#prevention
- skinvision.com. Skin Cancer That Looks Like Warts https://www.skinvision.com/library/skin-cancer-that-looks-like-a-wart/
- cancer.org. How to Spot Skin Cancer https://www.cancer.org/latest-news/how-to-spot-skin-cancer. html
- cdc.gov. Basic Information About Skin Cancer https://www.cdc.gov/cancer/skin/basic_info/index.htm
- health.harvard.edu. Warts https://www.health.harvard.edu/a_to_z/warts-a-to-z
- healthline.com. What Are My Treatment Options for HPV? https://www.healthline.com/health/sexually-transmitted-diseases/hpv-natural-treatment#symptoms
Dr. Carlos Bautista is a Board Certified Medical Doctor. He received his Medical Degree from Universidad Autónoma de Baja California and has more than 20 years of experience working with Alternative Medicine to treat cancer, autoimmune diseases, chronic degenerative diseases, and infectious diseases. He opened Immunity Therapy Center in 2007 with the goal of providing the highest quality medical care for more than 5,000 patients.
At Immunity Therapy Center, our goal is to provide objective, updated, and research-based information on all health-related topics. This article is based on scientific research and/or other scientific articles. All information has been fact-checked and reviewed by Dr. Carlos Bautista, a Board Certified Medical Doctor at Immunity Therapy Center. All information published on the site must undergo an extensive review process to ensure accuracy. This article contains trusted sources with all references hyperlinked for the reader’s visibility.
Cauliflower Type Growths (Warts) | Chelsea Skin & Laser
A wart is a small, skin growth often resembling a cauliflower or blister. It typically occurs on the hands or feet, but can develop in other locations. Warts are caused by a viral infection, specifically one of the many types of human papillomavirus (HPV). The virus causes the top layer of skin to grow rapidly forming the wart or a cluster of warts. There are many varieties of warts; most are considered harmless. They typically disappear after a few months but can last for years and, since they are caused by a virus in the body, can recur.
- Common warts grow anywhere on the body but the hands and feet are most common. They are rough, shaped like an arch, and may be gray-brown in color.
- Plantar warts grow on the feet. They are hard, thick patches of skin with dark specks. They may be painful when you walk or you may feel like you are stepping on a stone.
- Flat warts usually grow on the face, arms, or legs. They are small, have flat tops, and can be pink, light brown, or light yellow.
- Filiform warts usually grow around the mouth, nose, or beard area. They are the same color as your skin and have growths that look like threads sticking out of them.
- Periungual warts grow under and around the toenails and fingernails. They look like rough bumps with an uneven border and can affect nail growth.
- Condyloma Accuminatum or Genital warts are sexually transmitted, contagious and easily spread by direct contact. These skin growths can occur in any area of the genital region including the groin, vagina, cervix, anal area and within the rectum. They can be of varying sizes and shapes, rough or smooth, skin colored or white. Some types are associated with an increase of cervical cancer in women and peri-anal warts may carry an increased risk of squamous cell carcinoma in men. It is imperative to follow up with your gynecologist or proctologist when these types of warts are detected.
Warts are contagious and easily spread by direct contact. They can take months to grow beneath the skin before you notice them. Some people are more likely to get warts than others.
Chelsea Skin & Laser is your best source to diagnose and treat warts. We may prescribe a medical grade topical cream; inject the wart with a solution called Bleomycin; use cryotherapy effectively freezing the wart or remove it surgically or with electrocautery. Regardless of the treatment used, repeat treatments are usually required.
HPV, Causes, Types, Treatments, Removal, Prevention
What are warts?
Warts are noncancerous (benign) rough bumps that form on the skin. They develop when the human papillomavirus, or HPV, enters a cut or break in the skin and causes an infection.
Who might get warts?
Children are more prone to warts because they get a lot of cuts. Still, anyone can get warts. People with autoimmune disease or weakened immune systems, including the elderly, are more susceptible to the virus that causes warts.
What are the types of warts?
Wart types vary depending on the affected body part. Types include:
- Hands: These warts are called common warts because they are the most common type.
- Face: Flat warts affect the face and forehead.
- Feet: Plantar warts appear on the soles of the feet. These warts look like calluses with tiny black dots in the center. They are often painful and form in clusters.
- Genitals: Warts that form on the penis, vagina or rectum are called genital warts. These warts are a type of sexually transmitted infection. You get genital warts through sexual contact with an infected person.
- Periungual and subungual: These warts form under or around fingernails and toenails.
Symptoms and Causes
What causes warts and are they contagious?
When the human papillomavirus (HPV) enters a cut in the skin, it causes a skin infection that forms warts. Warts are very contagious. The virus can spread from person to person or from different parts of the body through:
- Direct contact with a wart.
- Touching something contaminated with the virus, such as towels, doorknobs and shower floors.
- Sexual intercourse (genital warts).
- Nail biting and cuticle picking.
What are the symptoms of warts?
Warts vary in appearance. They may look:
- Skin-colored, brown, grey or black.
Diagnosis and Tests
How are warts diagnosed?
Your doctor can diagnose warts simply by looking at the bumps. Sometimes, your doctor may take a sample of the skin growth (biopsy) to test for HPV.
Management and Treatment
How are warts managed or treated?
Warts often go away on their own after your immune system fights off the virus. Because warts can spread, cause pain and be unsightly, your doctor may recommend treatment. Options include:
- At-home wart removal: Over-the-counter (OTC) wart removal medications, such as Compound W®, contain salicylic acid. This chemical dissolves warts one layer at a time. These products come in liquid, gel and patch form. You may need to apply the medication every day for several months to get rid of the wart completely.
- Freezing: During a procedure called cryotherapy, your doctor applies liquid nitrogen to freeze the wart. After freezing, a blister forms. Eventually, the blister and wart peel off. You may need several treatments.
- Immunotherapy: For stubborn warts that don’t respond to traditional treatments, immunotherapy helps your immune system fight the virus. This process involves a topical chemical, such as diphencyprone (DCP). DCP causes a mild allergic reaction that makes the wart go away.
- Laser treatment: Your doctor uses laser light to heat and destroy tiny blood vessels inside the wart. The process cuts off blood supply, killing the wart.
- Topical medicine: Your doctor may apply a liquid mixture containing the chemical cantharidin. A blister forms under the wart and cuts off its blood supply. You must return to your doctor’s office in about a week to have the dead wart removed.
What are the complications of warts?
Most warts go away without any significant problems. Sometimes warts cause issues, such as:
- Cancer: HPV and genital warts are linked to several different cancers, including anal cancer, cervical cancer and throat (oropharyngeal) cancer. You can lower your risk of genital warts by getting the HPV vaccine and using condoms.
- Disfigurement: People with weakened immune systems may develop unappealing clusters of warts on the hands, face and body.
- Infection: Infections can occur if you pick or cut a wart. Breaks in the skin allow bacteria to enter.
- Pain: Most warts don’t hurt. But plantar warts can grow inward into the foot and be painful to walk on. You may feel as if there’s a pebble under the skin.
How can I prevent warts?
There’s really no way to prevent warts. However, you can lower your risk of picking up the virus or stop warts from spreading by taking these steps:
- Avoid shaving over a wart.
- Break the habit of biting your nails or picking at cuticles.
- Don’t share towels, washcloths, clothing, nail clippers, razors or other personal items.
- Don’t touch another person’s wart.
- Get the HPV vaccine and use condoms to prevent genital warts.
- Keep your feet dry to prevent the spread of plantar warts.
- Try not to scratch, cut or pick at a wart.
- Wear flip-flops or shoes when using a public locker room, pool area or showers.
Outlook / Prognosis
What is the outlook (prognosis) for people with warts?
Once you have the virus, there’s no sure way to keep warts from returning. After treatment, warts can reappear at the same location or a different part of the body. But some people get rid of warts and never have one again.
When should I call my healthcare provider about warts?
You should call your provider if the wart:
- Breaks open often, increasing the risk of infection or virus spread.
- Causes embarrassment.
- Develops on the genitals or rectum (genital warts).
- Looks infected (red or pus-filled).
- Makes walking painful and difficult (plantar warts).
What questions should I ask my healthcare provider about warts?
If you or your child has warts, consider asking your provider:
- How did we get warts?
- How can we keep warts from spreading to other parts of our bodies?
- What steps can we take to prevent getting more warts?
- What steps can we take to ensure other family members don’t get infected?
- What’s the best treatment for the warts?
- Should I look out for any signs of complications?
Warts can be unsightly and embarrassing. The good news is that warts often go away on their own. They also respond well to treatment. The virus that causes warts spreads easily. Be sure to take the necessary steps to prevent warts from infecting other people or other parts of your body. Your doctor can recommend the best at-home or in-office treatment to get rid of warts.
What is this lump on my penis?
Worried about a spot, lump or growth on your penis? Here are some possible causes.
If you’re worried, see a GP or visit a local sexual health clinic.
Pearly penile papules
These are small flesh-coloured lumps normally found on the head of the penis. They usually go all the way around the penis head in 1 or 2 rows.
These lumps are normal. They’re not sexually transmitted or caused by bad hygiene. They do not cause symptoms and do not require treatment.
Fordyce spots are small yellowish or white spots on the head or shaft of the penis. Fordyce spots are sebaceous glands (tiny glands found near the surface of your skin) without hair follicles.
They can also appear on the inside of the cheeks or on the lips, and are present in 80 to 95% of adults. Fordyce spots are generally harmless and do not need treatment.
This is a hard swelling that suddenly appears on the shaft of the penis after sex or masturbation.
It happens when the lymph channels in your penis are temporarily blocked. Lymph is a clear fluid that forms part of the body’s immune system.
The swelling should soon subside and will not cause any permanent problems.
Lichen planus is a non-infectious itchy rash of purple-red bumps that can affect many areas of the body, including the penis.
Genital warts are small fleshy growths or bumps that can appear on the shaft, and sometimes head, of the penis or under the foreskin.
They’re caused by the human papilloma virus (HPV), which is a sexually transmitted infection (STI).
Sores or ulcers
A painful blister or sore on your penis could be caused by herpes, which is an STI caused by the herpes simplex virus.
A painless sore or ulcer on your penis could be caused by syphilis (another STI).
Peyronie’s disease is an uncommon condition that causes a thickened area or hard lump (plaque) in the shaft of the penis. This can cause the penis to become curved when it’s erect.
For more information, read Is it normal to have a curved penis?
Molluscum contagiosum is a viral skin infection. It causes small firm, raised spots on the skin, which usually form in little clusters.
They can affect the penis and general groin area, in which case it’s considered an STI.
Cancer of the penis
Penile cancer is a rare type of cancer that can cause a sore or lump on the penis, most commonly on the head of the penis.
Read more about penile cancer
Page last reviewed: 20 April 2021
Next review due: 20 April 2024
Skin Growths – Dr Monica Scheel Dermatology, Kailua-Kona, HI
A mole is a common skin lesion due to a proliferation of pigment cells on the skin. The number of moles a person has depends on many factors including genetics, sun exposure and immune status.
It is important to have all of your moles mapped and the size recorded as any new mole or change to an existing mole may be a sign of a life-threatening skin cancer called Melanoma. ABCDE Characteristics are often used to help identify potentially malignant moles (Asymmetry, Border irregularity, Color Variation, Diameter >6mm, and Evolution over time).
Any suspicious mole should be biopsied to check for malignancy.
A epidermoid cyst is a dome-shaped, firm, skin-colored nodule that is freely movable and sometimes has a small pore-like opening. Occasionally, a thick, cheesy material with a foul odor can be expressed.
Cysts can be located almost anywhere but are common on the face, neck, scalp, or trunk.
For patients who desire removal, cysts can be excised to ensure complete removal of cyst wall. If a cyst becomes infected it may need to be incised and drained and antibiotics prescribed.
Lipomas are benign (non-cancerous), fatty tumors that grow just below the skin. They are usually painless, smooth, round, and mildly flexible. They have a semi-soft, rubbery texture when pushed. Lipomas can occur anywhere on the body including the back, abdomen, arms, legs, scalp and face. They range in size from 0.5 cm to over 7 cm.
Most people have small, undetectable lipomas that do not bother them. If a lipoma is overlying a sensitive area or if it grows to be large, it can be surgically removed. Other less common treatment methods include liposuction, aspiration, or injections.
A keloid (key-loid) is a type of raised scar. Unlike other raised scars, keloids grow much larger than the wound that caused the scar.
Not everyone who gets a scar will develop a keloid. If you have keloid-prone skin, however, anything that can cause a scar may lead to a keloid. This includes a cut, burn, or severe acne. Some people see a keloid after they pierce their ears or get a tattoo. A keloid can also form as chickenpox clear. Sometimes, a surgical scar becomes a keloid.
In very rare cases, keloids form when people do not injure their skin. These are called “spontaneous keloids.”
A keloid usually takes time to appear. After an injury, months can pass before this scar appears. A keloid can also form more quickly.
Once it begins, a keloid can enlarge slowly for months or years.
A skin tag is a small piece of soft, hanging skin that may have a peduncle, or stalk. They can appear anywhere on the body, but especially where skin rubs against other skin or clothing.
- Skin tags are benign tumors of the skin.
- They commonly occur in creases or folds of the skin.
- They are not dangerous, but they can be removed for aesthetic and cosmetic reasons.
- Methods of skin tag removal include over the counter (OTC) therapies, excision, and cryotherapy.
They may appear on the:
- under the breasts
- upper chest
- neck, in the case of papilloma colli
They often go unnoticed, unless they are in a prominent place or are repeatedly rubbed or scratched, for example, by clothing, jewelry, or when shaving.
Some people may have skin tags and never notice them. In some cases, they rub off or fall off painlessly. Very large skin tags may burst under pressure.
The surface of skin tags may be smooth or irregular in appearance. They are often raised from the surface of the skin on fleshy peduncles, or stalks. They are usually flesh-colored or slightly brownish.
Skin tags start small, flattened like a pinhead bump. Some stay small, and some grow bigger. They can range in diameter from 2 millimeters (mm) to 1 centimeter (cm), and some may reach 5cm.
Seborrheic keratosis (seb-o-REE-ik care-uh-TOE-sis) is a common skin growth. It may seem worrisome because it can look like a wart, pre-cancerous skin growth (actinic keratosis), or skin cancer. Despite their appearance, seborrheic keratoses are harmless.
Most people get these growths when they are middle aged or older. Because they begin at a later age and can have a wart-like appearance, seborrheic keratoses are often called the “barnacles of aging. ”
It’s possible to have just one of these growths, but most people develop several. Some growths may have a warty surface while others look like dabs of warm, brown candle wax on the skin.
Seborrheic keratoses range in color from white to black; however, most are tan or brown.
You can find these harmless growths anywhere on the skin, except the palms and soles. Most often, you’ll see them on the chest, back, head, or neck.
Seborrheic keratoses are not contagious.
Melanoma, mole or sebaceous wart?
It can be difficult to distinguish between malignant melanoma, pigmented naevus and seborrheic keratosis. Curettage and punch biopsy are simple procedures that can be performed by a general practitioner to determine a diagnosis.
Diagnosing malignant melanoma can be difficult. Seborrheic keratoses («sebaceous warts») and pigmented naevi (moles) are particularly easy to confuse with malignant melanoma.
In the following we present, by means of text and video, three simple procedures that the general practitioner can perform in order to give patients a faster diagnosis and – in the case of malignant melanoma – earlier treatment and a better prognosis.
Seborrheic keratoses are epidermal hyperkeratoses without malignant potential. These lesions are very common among the elderly, and are the most likely differential diagnosis when malignant melanoma is suspected in persons over the age of 40. Seborrheic keratoses develop over a period of weeks or months in middle aged persons. The lesions may vary in colour from light to dark brown (Fig. 1) and may loosen when handled or as a result of minor traumas. They leave small, temporary erosions, but may recur in the same place. Dermatoscopy shows a seborrheic keratosis to have a characteristic appearance with a verrucous surface and resembling a drop of wax (1). Such lesions are usually simple to diagnose with certainty.
Figure 1 Photo montage of malignant melanoma, atypical pigmented naevus and seborrheic keratosis on the skin
If there is still doubt about the diagnosis, however, the lesion should be removed by curettage (Video 1). The procedure is quick, easy to perform and requires no draping or suturing. If a keratotic material is easily removed and leaves a smooth, whitish, readily bleeding surface (Video 1), the diagnosis of seborrheic keratosis is confirmed. If any doubt persists, the curettage material should be sent for histological examination.
Atypical pigmented naevi
Pigmented naevi with a diameter of > 5mm, irregular shape and varying colour are described in the dermatological literature as atypical or dysplastic pigmented naevi. They always have a macular (flat) component (2).
Persons with five or more atypical pigmented naevi have a five to ten times higher risk of developing cutaneous malignant melanoma than persons without them (3). These lesions are an indicator of a skin type that is prone to developing malignant melanoma, rather than a precursor to melanoma in themselves (2).
Dermatoscopy can be an aid in diagnosis, but requires both training and experience, which most GPs do not have (4). Because it may be difficult to distinguish an atypical pigmented naevus from a malignant melanoma, excisions should be performed in cases of doubt to obtain a definite diagnosis. Removal of small pigmented naevi, including atypical pigmented naevi, can be performed with the aid of a knife with a circular blade (Video 2). The lesion should be excised with a free margin. A histological examination will determine the diagnosis. If the lesion is larger than 6 mm, an ordinary, elliptical excision should be preferred (Video 3).
Malignant melanoma is a serious form of cancer that develops from melanocytes, normally in skin.
Early diagnosis and treatment with excision improves survival. The commonest and most important danger signals are growth and colour change, particularly the development of black areas. Special attention should be paid to pigmented lesions that differ from others in their appearance or development, often called the ugly duckling sign. The ABCDE rule (Box 1) is somewhat more complicated, and most relevant for health personnel (6, 7). The rule is based on the fact that most malignant melanomas are Asymmetrical, have an irregular Border, Colour variation with black parts, a Diameter of over 6 mm, and additionally that they have Evolving. The ABCDE rule is appropriate for identifying many cases of melanoma, but less so for nodular varieties: these have a symmetrical shape and also the poorest prognosis (8).
The ABCDE rule
There are a number of signs that may distinguish a malignant melanoma from a benign pigmented naevus. These signs can be compiled into the ABCDE rule (7)
Asymmetry (two parts of the mole have different shapes)
Border (uneven border on the mole)
Colour (colour variation, often with black parts in the mole)
Diameter (mole is over 6 mm in diameter)
Evolving (the mole grows, or changes in some other way as described in the points above)
If a doctor suspects, or cannot exclude the possibility of a diagnosis of malignant melanoma, the lesion should be excised in its entirety with at least 2 mm free margin, either with a punch (Video 2) or by means of an elliptical excision (Video 3). These are procedures that all GPs be competent in. If they are not, the patient must be referred with a clear and unambiguously formulated reference to a dermatologist or surgeon, who should see the patient within two weeks at the latest (9).
Seborrheic keratoses versus malignant melanoma
Seborrheic keratoses may itch, grow rapidly and be dark coloured with black areas. They may therefore be difficult to distinguish from malignant melanoma on a clinical basis alone. The fact that a patient has several lesions with the same or almost the same appearance, is a strong indication of a diagnosis of seborrheic keratoses. Their greasy or verrucous consistency upon palpation distinguishes them from atypical pigmented naevi and malignant melanomas.
Figure 2 Equipment necessary: curette, circular knife (punch) and scalpel
Superficial spreading malignant melanoma is the most common type of melanoma. These lesions may be macular or only slightly elevated. The surface is smooth as a rule, not greasy and seldom verrucous. A nodular malignant melanoma usually has a smooth border, but may grow fast and still be less than 6 mm in diameter. The surface is seldom verrucous.
Atypical pigmented naevi versus malignant melanoma
Atypical pigmentus naevi do not normally itch, but itching is also a relatively rare symptom with malignant melanoma. Both atypical pigmentus naevi and malignant melanoma may have an irregular shape and colour. If the lesion has been stationary for several months without signs of change, this points to a diagnosis of atypical pigmentus naevi, since a malignant melanoma usually grows radially and/or changes its pigmentation over time. The development of new black areas irregularly distributed within the lesion is particularly characteristic of malignant melanoma.
Table 1 The most important differential diagnostic criteria for distinguishing malignant melanoma from seborrheic keratosis and atypical pigmented naevus
Atypical pigmented naevus
Patient’s account of developments
Age > 30 years
Often on trunk
Age > 20 years
Some similar lesions
Little or no change
Often on trunk
Age > 20 years
Solitary, mole-like lesion that has changed in colour and shape
Black component (90 %)
Several similar lesions
May be black
Pigmented lesion with irregular shape, colour and size
Several with similar appearance
Pigmented lesion with black or heterogeneous colours that distinguish it from the others
Not greasy consistence
More heterogeneous in colour and shape
Never several lesions of the same type
Flat, dry, erythematous, seldom pigmented
Greater irregularity in colour, black colour, solitary
Rapidly growing, bleeding tumour
Atypical pigmented naevus:
Little change, less colour variation
often several small, similar lesions
Curettage, can be scraped off with slight bleeding
Histological examination in case of doubt
Punch excision if < 6 mm or ordinary boat-shaped total excision
Excision with 2 mm free margin
A malignant melanoma is normally larger than 5 mm in diameter. Patients can therefore be trained to recognise pigmented lesions that cannot be hidden behind the end of a pencil. This is called the pencil test. If such a lesion grows radially or changes shape/pigmentation, the suspicion of malignant melanoma is strengthened. We would then recommend either a clinical assessment and possibly excision, or a referral to a dermatologist/surgeon.
Dermatoscopy performed by an experienced dermatoscopist will increase the chances of being able to distinguish an atypical pigmented naevus from malignant melanoma (10).
In this article we have described the most important clinical symptoms and signs that distinguish seborrheic keratoses and atypical pigmented naevi from malignant melanomas. If there is still doubt about the diagnosis following the patient’s account of developments and the clinical examination, we have presented three procedures (with video) which a general practitioner should be able to perform in order to ensure a definite diagnosis. We believe that increased use of these procedures can produce an earlier diagnosis and hence improve the prognosis in cases of malignant melanoma. At the same time, a more certain diagnosis of seborrheic keratoses and atypical pigmented naevi in general practice means a more rapid clarification for patients, and fewer referrals to the specialist health service.
The persons in the film have given their consent to publication.
90,000 Causes of vulgar warts: laser treatment and removal
The emergence of neoplasms on the skin of a child at any age is a reason to urgently consult a doctor. Parents should understand that treatment with folk remedies is permissible only when the attending physician has given permission for it.
The first children’s medical center provides a wide range of medical services for laser treatment of skin pathologies in children. In this article, we will look at one of the most common problems – vulgar (or common) warts.The specialists of the Center will tell you about what a vulgar wart is, why this neoplasm can appear in a child and how to deal with this kind of pathology.
The main causes of vulgar wart
Today, vulgar warts account for 70% of all cases of neoplasm, and treatment is prescribed taking into account the condition of the child, as well as taking into account the main causes of vulgar warts.
The main reasons for the appearance of vulgar warts is a decrease in immunity, as well as a violation of the hygienic regime.Also, the factors causing the appearance of neoplasms of this type are the human papillomavirus (HPV) and heredity.
In this article, the specialists of the First Children’s Medical Center will answer the questions: what is a vulgar wart, how can a child be saved from this disease, as well as about methods of treatment and prevention.
What is a vulgar wart?
Vulgar wart is a mass, usually light pink or flesh-colored. This kind of neoplasm can appear quite quickly. It is worth noting that the appearance of even one small such formation requires urgent consultation with a specialist.
Traditionally, vulgar warts appear on the feet and hands. Sometimes the appearance of neoplasms occurs after a change in the cosmetic care of the child’s body. In this case, initially it is worth excluding new shower gels, foams, soaps and urgently make an appointment with a doctor.
Enhancing factors of the appearance of neoplasms
First of all, it is the child’s weak immunity.Secondly, a violation of the hygiene regime. Excessive activity of the child can also negatively affect the growth and spread of formations: he takes fingers in his mouth, scratches the body, etc.
Human papillomavirus: where can you get the disease?
Human papillomavirus is transmitted in different ways: through blood, through open wounds, but for children most often during intrauterine development. To determine the exact nature and type of the wart, the specialists of the Center conduct a comprehensive examination, including:
- visual monitoring;
- consultation of an immunologist;
- endocrinologist consultation;
If you do not consult a doctor in time, instead of the question: what is a vulgar wart, it will be necessary to solve another problem: how to overcome a large area of the lesion and how to stop the growth of neoplasms.Laser removal of warts remains one of the most common methods of treatment: it is fast, effective and does not give any complications in 80%. At the same time, the procedure helps to reduce the area of infection spreading over the skin in the future.
Who is involved in the removal of a vulgar wart?
If we are talking about laser removal of a vulgar wart, then the procedures should be performed by a specialist with specialized medical education; a doctor who constantly improves his qualifications, takes training courses for working with laser systems.
However, it should be noted that the treatment of vulgar warts is carried out, as a rule, by a dermatologist with extensive experience in tandem with a surgeon who performs laser surgery to remove the neoplasm. This is due to the fact that it is not enough to simply remove the wart, it is important that the child receives full treatment in the future, since warts are only an external manifestation of the disease.
After the examination, doctors will tell you in detail what a vulgar wart is and will help determine the key causes of a vulgar wart in a child who has never had such manifestations before.
It is strictly forbidden to self-medicate, using various popular “grandmother’s methods” for this, such as:
- cauterization with a match;
- high concentration celandine or calendula juice etching;
- window condensate lotions.
90,031 the use of forceps;
Such treatment is not only ineffective, it is still dangerous, because it can provoke the development of new formations, and can also activate the manifestation of allergic reactions or infection.
After treatment, a specialist at the First Children’s Medical Center in Saratov will help you choose competent and comprehensive measures to prevent warts. This is extremely important, since HPV does not completely go away and if a person is infected, it is simply necessary to regularly apply special therapy that blocks the spread of the disease through the skin and maintains well-being. It is also important to remember to observe the rules of hygiene, to minimize the risk of injury. Both the child himself and his parents should monitor this as carefully as possible.
Parents must understand for themselves: what is a vulgar wart, and just learn to live with it, teach the child to react to the first signs of activation of formations, and also maintain the immune properties of the body.
How can parents determine that this formation is a simple wart?
- Among the total mass, there is one of the largest.
- The texture is uneven.
- Dry and rough to the touch.
- The skin color does not fundamentally change, but blotches of pink or yellow can be added.
A specialist on the basis of monitoring and special visual devices for examination, analysis results, conclusions of clinical studies will accurately diagnose and choose an effective treatment method.
Is it safe to remove a vulgar wart?
This is actually a painless procedure, but local anesthesia is used to maximize the effect. As a rule, the removal of a vulgar wart begins with the removal of the largest formation of the “mother”, and along with it, the rest of the smaller manifestations disappear.
Basic ways to remove a vulgar wart
- application of liquid nitrogen;
- laser coagulation;
Only on the basis of analyzes and an assessment of the nature of the child’s education, the doctor will select the most appropriate method. To improve the effect, the technique can be supplemented with medications for external use. One of the most common is laser coagulation, which has the smallest number of contraindications, because the therapeutic efficiency is achieved on average up to 90–95%.It is also possible to significantly reduce the number of re-formations.
Laser removal of warts is carried out at the Center using the latest equipment. Additionally, anti-relapse treatment is prescribed, taking into account the age of the child, his condition, individual characteristics and contraindications.
It is not enough just to remove the build-up, it is necessary to remove the focus itself and localize the spread of the virus further, protecting the most vulnerable skin and mucous membranes.
After the stage of active treatment, taking into account the main causes of the appearance of a vulgar wart – the contact-household way, it is necessary to limit children as much as possible from the factors that provoke their appearance.If one of the family members also has growths on the skin, after consultation with a dermatologist, the removal of the vulgar wart is prescribed.
If a child is engaged in the sports section or regularly visits the pool, it is necessary to carefully monitor the condition of his skin and at the slightest formations, immediately sign up for a consultation with a specialist. An environment with high humidity and a large crowd of people act as aggressive factors that stimulate the growth of such formations.
Suitable therapies for children
Laser removal of warts is the most effective way to remove the neoplasms themselves.It passes quickly, causes a minimum number of complications, allows the child to return to his usual rhythm immediately after the end of the procedure and not feel pain.
Understanding the underlying causes of a vulgar wart, antiviral therapy is additionally prescribed, as well as funds aimed at maintaining the immune system at a high level. Among the main reasons why laser coagulation is chosen is that after the procedure there are practically no scars, the skin heals quickly, and the risk of secondary formations converges to minimal rates. The adjacent area of the skin is unaffected, waves do not affect and do not affect the work of other organs and systems.
What does prevention of warts include?
- Compliance with the rules of the hygiene regime.
- Maximum exclusion of contact with those who have education.
- Minimization of the risk of mechanical damage.
- Medication support for the body, especially in the off-season.
Laser wart removal procedures are carried out all year round and do not require special training.10–20 minutes after the session, the little patient leaves the Center and returns to his usual life, and the parents get peace of mind that they helped their child overcome the active manifestation of the disease.
Your child’s health should be entrusted to professionals. If you experience the first symptoms, see your doctor! In the First Children’s Medical Center, experienced doctors quickly recognize the signs of the disease, conduct examination and treatment with modern medical equipment and provide qualified medical care.
Children’s health – peace of mind for parents!
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90,000 Removal of warts in Kazan at an affordable price – “Golden glow”
Warts and papillomas are not only a cosmetic defect, but a symptom of viral infection, namely – human papillomavirus ( HPV ).It can be infected by contact with a carrier of the virus or a sick person.
Do you need to remove warts?
As a rule, we are not in a hurry to see a doctor with similar problems, unless it is a serious cosmetic defect or acute pain.
!!! Immediate removal of warts is necessary in the following cases:
pain on palpation (often with plantar warts)
rapid growth of warts, discoloration, bleeding
an increase in the number of warts
pronounced cosmetic defect
What are the methods of removing warts at the Golden Glow clinic?
Our experts recommend an integrated approach:
Removal of warts by the method of radio wave surgery + therapy to suppress the virus and strengthen the immune system.
Advantages of radio wave surgery for removing warts and papillomas:
as painless as possible
minimal possibility of bleeding
minimal risk of scarring and scarring
the possibility of histological examination for malignancy
How much does it cost to remove a wart?
The cost of treatment includes the procedure, all consultations, dressings and necessary medications.The cost depends on the nature of the disease. View price
If warts spoil your appearance, bother you or cause pain – come for a consultation!
Medical Center “ Golden Glow ” – removal of warts quickly, as painlessly as possible and practically without a trace. Trust the experts!
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90,000 Papillomas in children, causes and treatment in 2019
Remember in childhood there was such a “scarecrow” – do not touch the frog, otherwise warts will jump from it? So: science has long stepped forward, today it is known for sure that the cause of “warts” in children is not frogs at all.
What is papillomavirus, how can a child get infected with it?
Papillomas, warts and warts are neoplasms of the skin and mucous membranes that occur when infected with the human papillomavirus (HPV).The virus can infect the outer layer of the skin and the smooth, moist mucous membranes of the mouth, rectum, anus, and genitals in men and women. There are over 100 different types of virus. Many of these types of virus cause warts and papillomas that appear on the hands and feet. HPV types 6 and 11 cause genital warts, while HPV types 16 and 18 can lead to cervical cancer and, less commonly, cancer of the vagina, penis, scrotum, or rectum.
In newborns and young children, papillomatosis (or HPV) manifests as cutaneous warts, genital warts and juvenile recurrent respiratory papillomatosis.In adolescent girls, squamous intraepithelial lesions of the cervix may occur.
In children aged 5 to 15 years, HPV types 1,2 and 3 predominate in skin warts, and HPV type 4 in adolescents. Recurrent respiratory papillomatosis is caused by HPV types 13, 39, 40, and 56.
How is the virus spread to children?
HPV is spread by skin-to-skin contact or through blood:
- A pregnant mother can transmit the infection to her baby through the bloodstream before childbirth or through the vaginal canal during childbirth.This is called perinatal transmission.
- Children with warts on their hands can transmit the virus through skin contact. The spread of the virus to the genital area occurs when you touch them with your hands. This route of infection is called autoinoculation.
- A caregiver with warts can transmit the virus through skin contact with the skin of a child’s hands or genitals. This is called heteroinoculation.
- HPV can be transmitted from human skin to the genital area of a child through sexual contact – in the event of violence.
- Rarely, HPV can be transmitted by contact with inanimate objects or surfaces. If an adult with warts uses a towel and then a child uses the same towel, the virus can be passed on to the child. This is called fomite transmission.
HPV is transmitted by skin contact, even if there are no warts or papillomas on the skin. After infection, the virus remains in the body. A person can be a carrier
Vaccination against papilloma virus
To create immunity, 2-3 vaccinations are required.Vaccine efficacy ranges from 97.9% to 100%.
More details can be found on the page: Vaccinations against papillomavirus
Prevention of HPV infection
Like many other viruses, HPV is activated and causes disease in immunocompromised individuals. That is why it is children who are susceptible to the development of papillomatosis. In some people, HPV can go away without treatment if the body responds to the virus.
It is especially important to vaccinate girls, i.because for them, HPV infection is fraught with the development of oncology. The best and most modern means of protecting against papillomavirus is vaccination. Girls must receive the vaccine (Gardasil, Cervarix) before they become sexually active
The most common vaccine, called Gardasil, is currently used to immunize school-age girls nine years of age and older. The vaccine confers immunity to two HPV strains that cause cervical cancer and two strains associated with genital warts.Vaccination is carried out with three injections of the vaccine within six months. It is recommended to get vaccinated before having sex. The vaccine is effective in protecting against HPV types 6, 11, 16 and 18. Vaccination is possible after the onset of sexual activity before the age of 26 years. In boys, vaccination protects against HPV colorectal cancer.
Rarely, the virus causes recurrent respiratory papillomatosis, in which viral warts grow in the larynx, causing benign laryngeal swelling in children.These neoplasms are treatable, but, unfortunately, they are completely incurable. In large numbers, neoplasms caused by HPV can obstruct the airways.
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The pediatrician will definitely pay special attention to the diagnosis of HPV and genital warts in a child. If you see that your child has a wart, urgently visit a doctor and start treatment. There is no need to hope that “it will pass by itself” and “it’s okay.” Quite the opposite: scary, threatening with oncology or big problems in the future. Especially it is necessary to monitor the presence of papillomas and warts if you have a daughter.
Any child with genital warts needs a complete medical examination, which includes the following:
- Examination of the anus and genital area of the child.
- Asking parents for HPV infection, genital warts, or common warts.
- Asking the mother for an abnormal Pap test, which may indicate an HPV infection.
- Interview the parents for any signs of possible sexual contact with the child and possible abuse of the child.
Colposcopy and Pap smear may be done in mature girls to look for signs of problems that can lead to cervical cancer.Early detection of the problem allows treatment.
HPV type immunoassay possible to identify high risk strains that can cause cancer.
Without treatment, genital warts and papillomas may disappear on their own or may persist for years. The treatment carried out, unfortunately, does not guarantee that the warts will not recur.
Generally, genital warts are treated with gels or creams that are applied to the warts:
- Imiquimod (Aldara), patient-applied wart cream.
- Podofilox, a gel or cream that is applied to the warts by the patient
- Trichloroacetic acid (TCA) or dichloroacetic acid (BCA), which a doctor applies to warts.
Less commonly used cryotherapy with liquid nitrogen or surgery.
Recurrent respiratory papillomatosis is treated surgically to remove benign growths, conventional or laser surgery can be used. The procedure is not painful and takes about 30 minutes, but due to the recurrent nature of the tumor, it may need to be performed regularly up to several times a year.Drugs used include cidofovir, interferon alfa, and other experimental chemotherapy regimens.
Unfortunately, the most effective today is vaccination. HPV treatment is symptomatic only. Don’t “save” on your child’s health. Vaccination against human papillomavirus is not included in the national vaccination schedule, unfortunately, such vaccinations are not given in polyclinics free of charge. We recommend that you take no risks and provide your child with a timely HPV vaccination.
Removal of warts in Volgograd
Warts are benign formations caused by HPV – Papillomavirus.
Once in the human body, the papillomavirus begins active reproduction, the upper skin layer grows. Formations appear that are rough to the touch, they are very noticeable, as they rise above the skin. How does the papilloma virus end up in the human body? It is introduced under the skin.Or, it is possible that it gets on the mucous membrane. Further, the virus enters the tissues located under the epithelium. And then the infection costs nothing to end up in the nervous system of a person suffering from warts.
This virus is capable of taking on a harmless latency state for a long time. Traveling along nerve pathways can be extremely slow. It can be delayed, and at the same time the body does not experience any discomfort and signs of illness in this regard. But almost everyone experiences stress from time to time.It is this period that can facilitate the return of the virus to the surface of the skin, which causes the appearance of many warts, and the disease progresses.
This phenomenon is not as harmless as it might seem at first glance. Initially, the disease is classified as benign, but after a while the process can become malignant. The occurrence of warts is not excluded at any age, but, usually, they are more common in schoolchildren and adolescents. The older age group is much less susceptible to this infection.
If the virus reaches the nervous system, it means that it will settle in the body for almost life. And the emotional state of the patient will be directly related to the exacerbation of the disease. For example, if a person is nervous, experiencing excitement, warts will appear. In some cases, the occurrence of warts is due to simple self-hypnosis. Some people are terrified that they will suddenly develop warts. And in the end, they arise. This is due to the fact that many have a latent virus, only this remains invisible for quite a long time, and is detected only with the appearance of the most obvious symptom.
What are the types of warts?
Many are interested in what size warts can be and how they look. These indicators can differ markedly, since it is important in which part of the body they are localized. In addition, it matters how often they are exposed to irritating actions, whether there is periodic trauma. For example, when a neoplasm is often touched by items of clothing, a belt, and so on. The disease proceeds in different ways, that is, the number of warts can be completely different.From one piece to several dozen formations.
In what places can the manifestation of this disease be most often expected? Often they occur near the eyes, on the neck, in the armpit. There may be filamentous formations – they are called hanging warts. Papilloma virus manifestations on the chest are brown or flesh-colored. Quite often, this type is observed during pregnancy, during the climatic period, as well as with diabetes or obesity. Thus, this is evidence that hormonal imbalances in the body also affect the occurrence of warts.
Warts on the hands are especially common. This is where the answer to the question that interests all children lies – why do adults forbid nail biting? Undoubtedly, hands come into contact with the infected surface first. If there are small wounds on the fingers, caused by such children’s “entertainment”, then such conditions are a wide open path for various papilloma viruses, the development of warts begins around the nail bed and under the nails. The constant growth of warts in the nails is very painful and causes great discomfort, not to mention the ugly appearance of the hands.It is especially pointless to worry about this, because such neoplasms are very successfully cured. But if you do not get rid of this habit of biting your nails, then you can be absolutely sure that literally after a while this patient will return to the clinic with the same diagnosis.
Some types of this virus appear as flat warts. They do no harm, and besides, they are almost invisible. The formations are in the form of dense nodules that protrude slightly above the skin surface.Their color can be either flesh, or pale pink, or brownish. The size is most often from two to six millimeters. But in the case of active reproduction, they may cover the entire neck or face area. In this case, it is no longer necessary to talk about the harmlessness of such formations. They certainly require immediate and professional treatment. There are quite rare cases when flat warts cover the back of the hands, the oral cavity, and even the skin of the genitals.
Localization of vulgar warts is the hands and fingers.They are also often found on the face, around the lip line, and can settle on the scalp. They usually occur in plural numbers, which eventually combine. In the center is the earliest formed formation, which became the reason for further reproduction. If this “mother” is removed, then the whole “family” disappears with her.
This look can also appear on the soles, which causes great discomfort when walking. They look like non-inflamed papules, the surface is dry and uneven.The color is usually flesh-colored or brownish-grayish. In some cases, there are cracks that aggravate the painful sensations. The size of such warts can be from two to ten millimeters.
This type of warts has a name that explains the way of infection with the papilloma virus. Very often people who are representatives of the butcher profession have hands with warts and papillomas. The route of the virus penetration is minor wounds and scratches that periodically occur in the process of cutting meat carcasses.
It should be noted that this category includes neoplasms, which are usually called warts, but, nevertheless, the virus has nothing to do with it. Indeed, their appearance is associated with age-related changes, and they are age-related keratomas on the trunk, as well as in the neck and face.
Any neoplasms, the appearance of which is caused by the papilloma virus, have a very unaesthetic appearance. But even this fact is not decisive for their removal.They can multiply much faster than you imagine. Growth is enhanced if the wart is inadvertently damaged, for example, while shaving. There are painful sensations, a feeling of discomfort, bleeding is not excluded. Be especially careful if the color and shape of the warts changes. Each of these cases is a good enough reason to see a doctor and remove neoplasms, since there is always a risk of their transition to a malignant category.
The most common ways of infection with warts
It is very easy to get infected with the virus.It is enough just to shake the hand of a person with warts. And of course, all common items can be included in the risk zone. An interesting fact is that once in the outside world, the virus can exist for only three hours. But often this is enough to infect a person.
If you come into contact with a person with warts, you can easily get infected with this virus. It is also able to pass onto the skin of a healthy person through any infected surface.The incubation period is long, and it may take several months before the disease manifests itself in a visible and tangible form.
The risk group includes people who have microtrauma on their skin. Under these conditions, it is much easier for the virus to penetrate if a person visits places such as public swimming pools, baths, fitness rooms, and so on. But it should be emphasized that one of the first factors contributing to the multiplication of this virus is a weakened immune system.This is constant overwork, depression and stress.
It is also easy to get warts if the person has excessive sweating. Such types of work, in which small wounds appear on the surface of the skin, also contribute. For example, cleaning around the house, hand washing, caring for the backyard.
To treat or not to treat?
Often this unpleasant phenomenon disappears on its own, and never returns.At the same time, a significant part of patients cannot count on such a result. They have to seek help from specialists in order to receive appropriate treatment. It is impossible not to mention people who are especially susceptible to the papillomavirus. They suffer from this disease for years, destroy in various ways. But after a while, warts appear in the same place.
The papilloma virus, which causes warts in a sensitive area like the soles of the feet, “prefers” warm and humid places.And if we consider that the favorite shoes of modern children are sneakers, or sports shoes similar to them made of synthetic materials, it becomes quite obvious that warts will “like” such conditions. This explains why young people most often suffer from plantar warts.
Some patients, suffering from simple warts, are in no hurry to seek medical help, as many know – most often after two years everything disappears without outside intervention.But if the neoplasm during this time only becomes larger, measures should be taken to eliminate it.
We recommend that you pay special attention to the fact that it is categorically undesirable to use various extreme methods of alternative treatment. For example, such as wetting with acid, lotions with vinegar essence, and so on. Such experiments with their own health will not give good results, they are simply dangerous.
What to do to protect yourself as much as possible from the appearance of warts? Firstly, you should not neglect the rules of personal hygiene, and if you received only a microtrauma, immediately disinfect the damaged area.When discomfort in a specific area of your body makes you suspicious, don’t wait for the warts to grow and spread. See a doctor immediately.
If you are affected by such a problem as the treatment of warts, Volgograd is a city where it is not difficult to solve it. You can treat warts in our medical center with cryodestruction – a procedure for freezing with liquid nitrogen.
The advantages of removing the formation with liquid nitrogen are the absence of incisions and punctures, respectively, the removal occurs without violating the integrity of the skin, which significantly reduces the rehabilitation period after the procedure.Each element is handled separately. Freezing time depends on the size and location of the formation – on average, from half to 2 minutes. Subjectively, at the time of freezing, there is a burning sensation, tingling, soreness.
The action is based on ultra-low temperatures. The water that is contained inside the cell, as well as in the intercellular space, is frozen. With the crystallization of its molecules, the concentration of other substances becomes higher, which leads to a violation of membrane permeability.Thus, the vital activity of these cells stops. The time of cell death depends on the rate of freezing. Thanks to this intervention, a necrotic zone is formed. With cryodestruction, there is a rapid death and destruction of pathological tissue, which is subsequently rejected. The regeneration process of the treated area is very fast. Cryodestruction is a modern method that is used not only in dermatology, but is widely used by neurosurgeons and oncologists, as well as for the treatment of gynecological and urological diseases, which confirms its undoubted effectiveness.
The advantages of cryodestruction include:
- Excellent analgesic properties
- Presence of a hemostatic effect
- Immunostimulating effect
- High antiseptic properties
- Absence of scars and scar formation
One of the big advantages of this procedure is that tissues destroyed by low temperatures are not removed. They continue to remain until a certain time in the same place.Thus, a kind of bandage of natural origin is formed, which covers the resulting wound and protects it from infection and inflammation.
After freezing, redness and swelling appear, and after 6-24 hours – a bubble that lasts up to 5 days, then a dense crust forms in its place. In some cases, there may be no visible bubble, and a crust gradually forms at the site of formation. After drying, the crust is rejected and you need to see a doctor again to resolve the issue of re-freezing (repeated treatment with liquid nitrogen of the same element is made without payment for 3 months).The more the education, the more the number of repeated treatments is necessary. Therefore, the sooner you seek cosmetic help, the faster you will get rid of unwanted formations.
What is liquid nitrogen?
It is a transparent mixture, odorless and colorless, boiling point – 195.8 degrees Celsius, taking into account normal atmospheric pressure. The substance does not pose any danger, it does not explode or ignite. One liter of liquid nitrogen, evaporating, forms about seven hundred liters of gaseous substance.
Liquid nitrogen is stored in special tanks called Dewar vessels. Containers of different sizes, from six to forty liters. In the beautician’s office, a thermos can be used to store liquid nitrogen. The most common, these are used for food purposes. To move the substance from the Dewar to the thermos, a funnel, or a special device, is usually used.
The therapeutic activity of liquid nitrogen is very high, the method of application does not cause difficulties.And most importantly, an excellent cosmetic effect is provided. Treatment with liquid nitrogen is based on its low temperature. Its effect on fabrics is very diverse, since the method of use matters.
Freezing works in different ways. This effect causes the death and destruction of certain areas of the tissue. In other cases, under its influence, the narrowing of the blood vessels occurs, which subsequently ensures their active expansion. The reserve capillaries also expand with them.Thus, there is an increased blood flow to a specific area.
If the purpose of using liquid nitrogen is to deeply freeze the neoplasm with subsequent removal, then the death and destruction of the tissue of a certain area takes place. To obtain the desired result, the exposure time should be longer, half a minute or more. The applicator is tightly fixed over the defect requiring removal – the wart. The pressure should be light.
In some cases, the goal of the cosmetologist is to create a vascular reaction, when a superficial effect is required on the skin.In such a situation, cryomassage with exposure to liquid nitrogen from ten to fifteen seconds is advisable.
Cryotherapy with liquid nitrogen. Methodology.
The procedure for getting rid of warts with liquid nitrogen is not particularly difficult. Let’s take a closer look at how this happens. A special applicator in the form of a wooden stick is used. Its length is from 25 to 30 centimeters; a cotton swab is fixed at the end. Typically, the size of the tampon depends on the size of the lesion to be removed.
A cryoapplicator, which is a tube-reservoir with liquid nitrogen inside, can also be used. It is equipped with metal tips, which have different shapes and can be easily replaced. Before starting cryotherapy, the skin and the focus are treated with 70-degree medical alcohol.
Common warts with mild hyperkeratosis are each treated separately. To do this, the applicator is lowered into a container containing liquid nitrogen, for example, into a thermos, so that the tampon is saturated with the substance.After that, they quickly touch the wart, applying light pressure. How long the exposure will last depends on the location of the neoplasm and its size. On average, this takes from ten seconds to a minute. It takes up to twenty seconds for the liquid nitrogen to evaporate from the swab. Then the healing effect disappears. Therefore, it is required to repeat the procedure, moisten it again in liquid nitrogen, and press it against the treated area with a wart. Not only the wart is subject to freezing, but the ring around, at a distance of one and a half centimeters.
Pronounced hyperkeratosis often occurs. In such a case, appropriate preparation must be carried out before proceeding with the removal of the element with liquid nitrogen. It consists in removing the keratinized parts that surround the neoplasm to be removed. If there are a lot of warts, which is often observed in childhood, primary cryotherapy sessions are performed in parts, two or three times.
The treatment of any type of formations caused by the papilloma virus must be taken seriously.In some cases, a relapse is possible, so you should visit your doctor again to prevent it. If the effect of the treatment was insufficient, cryotherapy with liquid nitrogen is repeated.
Laser wart removal in St. Petersburg, prices and description in St. Petersburg
Removal of a wart up to 1 cm²
1500/3000 * i
Removal of plantar wart up to 1 cm²
1500/3500 * i
Diagnostics with dermatoscopy
Consultation after removal of the neoplasm
Prices for removal of neoplasms can be changed by a specialist depending on the complexity of the work and the amount of consumables.* Cost from a leading dermatologist with the highest category.
Description of procedure
Benign neoplasms of a convex shape are called warts. They appear due to the penetration of the human papillomavirus (HPV) into the body. Warts are harmless, but contagious – HPV can be contracted through household contact. They occur mainly on the palms, feet, intimate area and face, while delivering many inconveniences.
Laser removal of warts is necessary not only for aesthetic reasons, but in order to stop their spread throughout the body and prevent infection of other people.
Efficiency, speed, excellent regeneration and no traces – our specialists will provide you with a comfortable environment during and after the procedure.
How to treat papillomavirus, symptoms, analysis, treatment | Why does papilloma virus appear, causes of genital warts
Human papillomavirus – causes of appearance
Human papillomavirus is a chronic sexually transmitted disease.If there is damage to the skin, infection can also occur through household contact through scratches and cuts.
The ability of the virus to be transmitted from an infected organism to a healthy one is more than 70%. Therefore, even using a condom during intercourse does not guarantee absolute protection.
The degree of pathogenicity depends on the type of pathogen and the susceptibility of the individual’s immune system, and the incubation period varies from several weeks to several years.
The causes of papillomas or their recurrence are as follows:
- hormonal disruptions in the body;
- exhaustion or hypothermia;
- severe chronic diseases;
- the presence of bad habits;
- pregnancy, abortion or insertion of an intrauterine device.
The appearance of papillomas can be recognized by the volumetric formations on the skin in the form of a papilla, a bump or a tubercle.The location is chaotic: on the hands, fingers, feet, neck, face, etc. Sizes range from tiny to large, and color from flesh to brown.
Another type of formations is a pointed condyloma of an elongated-conical shape, which is usually localized on the mucous membranes of the genital organs. With mechanical irritation, it can itch, hurt, bleed, and sometimes have an unpleasant odor.
An experienced dermatovenerologist can immediately determine that the patient has condyloma or papilloma.He conducts an examination and collects a detailed history. If necessary, prescribes additional examinations: PCR, biopsy, colposcopy, etc.
Treatment of papillomas
Some are interested in methods of removing papillomas and genital warts due to their unaestheticness. Others do not pay attention, because they do not experience perceptible discomfort. In any case, neoplasms need to be disposed of, as over time they can become malignant.
There are several modern methods that can quickly fix the problem:
- Cryodestruction.Removal of warts with liquid nitrogen by freezing. The tissues are cooled to a minimum temperature, so the vital activity of cells and blood circulation stops;
- Electrocoagulation. Removal of warts by electric current. Before the procedure, minimal anesthesia is required, after which the doctor begins to work. You can evaluate the result in 2-5 minutes;
- Radio wave surgery (PBX). Non-contact method of removing warts using radio waves, laser. The procedure is performed using local anesthesia and is virtually painless.
Self-medication is not recommended. Sometimes traditional methods help, but some can seriously harm health and lead to unpleasant consequences: burns, injuries or malignant transformation of the process.
You can consult with a dermatovenerologist and make an appointment by calling our clinic or through the form on the website.
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90,000 Removal of warts for children – liquid nitrogen, laser in a clinic in St. Petersburg
Chief Physician of the KallistoMed Clinic of Aesthetic Medicine.Dermatovenereologist, cosmetologist, physiotherapist, trichologist
Time to read: 10 minutes
Date of publication: 11.12.20
Warts in children of any age are quite common, since due to unformed immunity, babies and adolescents are more prone to various infectious diseases than adults. Warts are one of the external manifestations of infections and often appear without any accompanying symptoms.
In most cases, warts in children need to be removed, as they can cause discomfort, injury and bleeding. Fortunately, today there are safe and painless treatment methods that allow you to get rid of growths without complications and relapses.
Reasons for the appearance of
Like adults, children are constantly in contact with the outside world, which means they are also susceptible to the human papillomavirus (HPV). It is he who provokes the appearance of warts in various parts of the body.In childhood and adolescence, immunity is not yet fully formed, so the risk of neoplasms is extremely high.
There are a number of factors that can provoke the direct growth of growths. It is:
- Colds and other infectious diseases.
- Overwork and tiredness.
- Lack of personal hygiene.
- Swimming in public pools.
- Tight shoes and clothing.
Types of warts in children
Growths of the following type usually appear:
- Vulgar.Gray or brownish growths on the skin that often “merge” with each other.
- Flat. Yellowish, reddish, or flesh-colored warts that do not appear above the surface of the skin.
- Spines (plantar). Warts that are found on the feet and heels.
Most often, flat neoplasms are found in children. They can occur for no reason and sometimes even go away on their own. However, in any case, a specialist consultation will be required, since there is always a risk of relapse.
Localization of neoplasms
Warts in babies can appear in a variety of places. Most often they are localized in the following areas:
- face and lips;
- feet (heels and area near the toes).
Usually, the formations are small in size, located close to each other.
Treatment methods in our clinic
Removal of warts in children can be done in several ways:
- Liquid nitrogen.This technique is called cryodestruction. Its essence boils down to the effect on the growth of liquid nitrogen, which is cooled to a temperature of -196 degrees. Under the influence of cold, damaged cells are destroyed and die off, and a small wound remains in their place. This method is most often used in our clinic for the treatment of children, as it is safe and painless.
- Electrocoagulation. Another possible way to eliminate formations is to use a high frequency current.Due to exposure to high temperatures, cells are literally “burned out”, and due to the coagulation of blood vessels, bleeding and infection can be avoided. The technique has only one drawback – it is quite painful, therefore, it is extremely rarely used for babies and adolescents.
- Surgical removal. A technique that is used to eliminate large neoplasms. Excision does not guarantee the absence of relapses and often leads to the formation of scars; it is rarely used for babies.
Do not self-medicate! It is important to understand that various ointments, creams and tinctures can provoke a worsening of the situation.Such remedies should not be used to treat warts, especially if you have not consulted a dermatologist before.
For the smallest patients in our clinic, there are several methods of local treatment, which is the most comfortable and is carried out under the strict supervision of a dermatologist.
Indications and contraindications
Removal of neoplasms is recommended in the following cases:
- Their constant injury and bleeding.
- Multiple neoplasms.
- Increase in size of warts, changes in their color and shape.
- Discomfort and inconvenient location of growths.
However, before performing the treatment, it is worth knowing that it has some contraindications. The baby will have to refuse to remove warts in the following cases:
- Exacerbation of chronic diseases.
- Infectious diseases.
- Herpes during an exacerbation.
- Blood clotting disorder.
Preparation and stages of treatment
The removal of warts in a child is preceded by a consultation with a dermatologist and a blood test. It is important to establish an accurate diagnosis, as well as to identify the absence of contraindications.
Direct treatment occurs in the following sequence:
- Cleansing the skin from impurities.
- Application of anesthetic cream.
- Disinfection of the skin.
- Removal of build-ups with liquid nitrogen.
- Re-disinfection of the skin, applying a bandage (if necessary).
The procedure does not require additional preparation. The total treatment time is 15-20 minutes.
To remove warts in children and adolescents, our specialists use liquid nitrogen cooled to a certain temperature. The neoplasm is “cauterized” with a cotton swab.
Electrocoagulation in our clinic is performed using an electrocoagulator. This device has a special electrode with a loop, with the help of which the necessary effect on the neoplasm is exerted. Most often, our doctors choose this method of treatment for bulging warts and growths “on the leg”.
Skin care after
It is important to explain to the child that in no case should the crust formed on the wound be ripped off. During rehabilitation, try to keep the wound clean, if necessary, use special healing ointments.
For about 2 weeks, you will need to refuse to visit the pools. Also try to choose the most comfortable clothes and shoes for the child, make sure that the wound is not injured.
You can find out more detailed recommendations at an appointment with a specialist at our clinic KallistoMed in St.