Is This Skin Growth a Wart? Your Concerns - Dermatology

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Hello, I have researched a lot of information online?


I have researched a lot of information online and found that cauliflower (condyloma) does not have a black color, which has been the case since 2015.
It hasn't grown larger or spread, but I am very concerned and would like to ask, based on appearance, is this cauliflower? Image support: https://upload.cc/i1/2018/04/05/IAySns.jpg

Niming, 20~29 year old female. Ask Date: 2018/04/05

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician may not administer treatment or prescribe medication without personally examining the patient," and therefore, online diagnosis is also not permitted.

Reply Date: 2018/04/05

More Info


When it comes to skin growths, particularly those that resemble warts, it's essential to approach the situation with caution and a clear understanding of the characteristics of various skin lesions. Based on your description and the image you provided, it’s understandable to have concerns about whether the growth is a wart (also known as a verruca) or something else.

Warts are benign (non-cancerous) growths caused by the human papillomavirus (HPV). They often appear as small, rough bumps on the skin and can vary in color, typically being skin-colored, white, or brown. They are commonly found on the hands, feet, and other areas of the body. Warts can have a cauliflower-like appearance, which is why they are sometimes colloquially referred to as "cauliflower" in some cultures. However, they can also appear as flat, smooth lesions.

From your description, it seems that the growth has not changed in size or spread since 2015, which is a positive sign. Warts can sometimes resolve on their own, but they can also persist for years. The fact that your growth has remained stable and has not shown signs of rapid growth or changes in color is reassuring. However, it is crucial to differentiate between a wart and other skin conditions, such as seborrheic keratosis, skin tags, or even more serious conditions like melanoma.

Here are a few key points to consider when evaluating your skin growth:
1. Appearance: Warts typically have a rough surface and may have tiny black dots (which are actually small blood vessels) within them. If your growth does not have these characteristics, it may not be a wart.

2. Location: Warts commonly appear on areas of the skin that are frequently exposed to friction or trauma, such as the hands and feet. If your growth is located in an unusual area, it may warrant further investigation.

3. Symptoms: Warts are usually asymptomatic, but they can sometimes cause discomfort if they are located in a pressure area. If your growth is painful, itchy, or bleeding, it is essential to seek medical advice.

4. Duration: The longevity of the growth is also a factor. If it has been present for several years without change, it is less likely to be a rapidly growing or aggressive lesion.

5. Consultation: The best course of action is to consult a dermatologist. A healthcare professional can perform a thorough examination and may recommend a biopsy if there is any doubt about the nature of the growth. This is particularly important if there are any changes in color, size, or texture.

In conclusion, while your growth may resemble a wart, the definitive diagnosis can only be made by a qualified healthcare professional. It is always better to err on the side of caution when it comes to skin changes. If you have any doubts or concerns, I strongly encourage you to schedule an appointment with a dermatologist who can provide a comprehensive evaluation and peace of mind. Remember, early detection and treatment of any skin condition are crucial for maintaining skin health.

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