Skin Bumps: What to Do About Flat, Skin-Colored Growths - Dermatology

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Skin-colored lesions


Hello Doctor, I would like to ask about something I noticed a few days ago while showering.
I found a flat, oval-shaped skin-colored bump at the site where my underwear was pressing, approximately 2mm in diameter.
Unfortunately, I accidentally picked it off, and there was no bleeding afterward, but it felt slightly uncomfortable when my underwear touched it.
I haven't engaged in any risky sexual behavior recently, but I'm quite worried and unsure if it could be a wart or something similar.
I'm also confused about why I developed this.
I plan to see a doctor in a few days, but I'm feeling anxious, concerned that the doctor might not be able to diagnose it since I picked it off.
I'm unsure whether I should see a dermatologist or a gynecologist.
I did some research online, and it looks a lot like a flat wart, but I read that flat warts are more common on the face and limbs, which seems a bit different from my situation.
I hope the doctor can give me some advice.
🥹

Niming, 20~29 year old female. Ask Date: 2024/02/13

Dr. Wu Yuxin reply Dermatology


Dermatology may involve the use of a dermatoscope for examination, which can help identify any residual lesions.

Reply Date: 2024/02/13

More Info


When it comes to skin bumps, particularly flat, skin-colored growths, it’s understandable to feel anxious, especially after accidentally removing one. Based on your description, the growth you encountered could be a variety of things, including a flat wart (also known as a verruca plana), a seborrheic keratosis, or even a benign skin tag. Each of these conditions has distinct characteristics and causes, and understanding them can help alleviate some of your concerns.

Flat warts are caused by the human papillomavirus (HPV) and are typically small, smooth, and can appear anywhere on the body, although they are more common on the face, hands, and arms. They can be skin-colored or slightly darker and are usually painless. Seborrheic keratosis, on the other hand, is a non-cancerous growth that often appears as a brown, black, or light tan bump on the skin. These growths are common in older adults and can vary in size and shape. Skin tags are small, soft pieces of skin that hang off the body and are generally harmless.

The fact that you did not experience bleeding or significant discomfort after removing the bump is a good sign, but it’s still important to monitor the area for any changes, such as redness, swelling, or the appearance of new growths. If the bump was indeed a wart or another type of growth, it’s possible that it could recur, especially if the underlying virus or condition is still present.

Regarding your concern about whether to see a dermatologist or a gynecologist, it would be best to start with a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination of the bump and any other skin concerns you may have. They can also perform necessary tests, such as a biopsy, if needed, to determine the exact nature of the growth. If the dermatologist suspects that the growth is related to a sexually transmitted infection (STI), they may refer you to a gynecologist for further evaluation.

In the meantime, here are some general recommendations to consider:
1. Avoid Picking at the Area: Since you’ve already removed the bump, it’s crucial to avoid further irritation to the skin. Picking at any new growths can lead to infection or scarring.

2. Keep the Area Clean: Maintain good hygiene by washing the area gently with mild soap and water. Avoid using harsh chemicals or scrubs that could irritate the skin.

3. Monitor for Changes: Keep an eye on the area for any new growths or changes in the skin’s appearance. If you notice anything unusual, make sure to mention it to your doctor.

4. Limit Irritation: Since you mentioned discomfort when your underwear rubs against the area, consider wearing loose-fitting clothing to minimize irritation until you can see a doctor.

5. Stay Calm: While it’s natural to feel anxious, try to stay calm until you can get a professional opinion. Many skin growths are benign and can be easily treated if necessary.

In conclusion, while it’s understandable to feel worried about skin changes, many skin bumps are harmless and can be effectively managed. Seeing a dermatologist will provide you with clarity and peace of mind regarding your skin health. They can offer tailored advice and treatment options based on their assessment. Remember, early intervention is key in managing skin conditions effectively.

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