Persistent Skin Bump: Effective Treatments for Corn-Like Growths

Corn & lump

I have a growth near the upper part of my left earlobe, close to my cheek, that resembles a corn.
It has been there for over twenty years.
Occasionally, I touch it, and if it bleeds, it tends to grow larger.
In the past two years, I have undergone cryotherapy at a dermatology clinic, receiving treatment once a week for a month.
The doctor advised that I could stop, but it reappeared a month later.
What other treatment options does the doctor recommend? Thank you for your response.

Xiao Zhou, 20~29 year old female. Ask Date: 2001/07/18

Dr. Zheng Lizhen reply Dermatology

Based on your description, your issue may be "warts." Warts are a viral infection that is contagious, which is why they can grow larger and multiply.
In terms of treatment: (1) Cryotherapy to remove the existing warts, typically done every two weeks until the root is completely eliminated.
(2) Salicylic acid preparations: These soften the keratin and need to be applied daily, making them a choice for those who are sensitive to pain.
(3) Some medications can boost immunity against the virus, such as Decaris or Tagamet (the latter is not covered by insurance).
(4) Certain foods can also enhance immunity against the virus, such as Job's tears.

Reply Date: 2001/07/18

More Info

When dealing with persistent skin bumps that resemble corns or warts, such as the one you've described near your ear, it's essential to understand the nature of these growths and the available treatment options. Based on your description, it seems like you have a long-standing skin lesion that has been resistant to treatment, including cryotherapy (freezing treatment).

Understanding the Growth
The growth you are experiencing could be a variety of skin conditions, including a corn (a thickened area of skin), a wart (caused by the human papillomavirus), or a seborrheic keratosis (a benign skin growth). The fact that it has been present for over twenty years and tends to bleed when manipulated suggests that it may be a more resilient type of lesion.

Treatment Options
1. Cryotherapy: As you've already undergone cryotherapy, which involves freezing the lesion to destroy abnormal skin cells, it's worth noting that while this treatment can be effective, it may not always result in permanent removal. Some lesions can recur after treatment, especially if they are not completely eradicated.

2. Electrosurgery: This method uses electrical currents to remove the growth. It can be effective for various types of skin lesions and may provide a more definitive solution compared to cryotherapy.

3. Laser Therapy: Certain types of lasers can target and destroy skin lesions with precision. This method can be particularly useful for warts and other stubborn growths.

4. Topical Treatments: Depending on the diagnosis, topical treatments such as salicylic acid or other keratolytic agents may help in softening and gradually removing the growth. These treatments require consistent application over time.

5. Surgical Excision: If the lesion is particularly bothersome or resistant to other treatments, surgical excision may be recommended. This involves cutting out the growth and can provide a more permanent solution.

6. Consultation with a Dermatologist: Since you have already seen a dermatologist, it may be beneficial to seek a second opinion or revisit your current dermatologist for further evaluation. They may suggest a biopsy to determine the exact nature of the growth, which can guide more targeted treatment options.

Prevention and Care
While treating the lesion, it’s important to avoid picking at it, as this can lead to bleeding and potential infection, as you have experienced. Keeping the area clean and protected can help prevent irritation.

Conclusion
In summary, while cryotherapy is a common treatment for skin bumps, it may not always be effective for every individual or type of lesion. Exploring other treatment options such as electrosurgery, laser therapy, or surgical excision may provide better results. Additionally, consulting with a dermatologist for a thorough evaluation and possibly a biopsy could be beneficial in determining the best course of action for your specific situation. Remember that skin lesions can vary widely in their characteristics and responses to treatment, so a tailored approach is often necessary for optimal outcomes.

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