Full-Body Skin Exam Reveals Benign Lesions in a 23-Year-Old | Village Dermatology Katy & Houston, TX
By: Dr Caroline Vaughn
Introduction
At Village Dermatology in Katy and Houston, Texas, we encourage annual full-body skin exams to help identify skin cancer early and educate patients about skin health. This case describes a 23-year-old woman’s first comprehensive skin check. Though her lesions were benign, this visit offered a valuable opportunity for prevention, education, and reassurance.
Case Overview
Patient: 23-year-old female
Concerns: Long-standing, asymptomatic skin lesions and evaluation for skin cancer risk
History: No personal or family history of melanoma or non-melanoma skin cancer
The patient had moderate tanning and presented with numerous pigmented lesions across the body. She was especially interested in learning how to protect her skin, identify suspicious growths, and understand what was normal.
Comprehensive Skin Exam
A detailed skin examination was conducted using a dermatoscope, covering:
Scalp, face, and ears
Chest, back, arms, and legs
Fingers, toes, and nails
Trunk, breasts, buttocks, and groin (patient declined underwear removal)
Despite the widespread nature of her nevi, all lesions evaluated were benign and showed no signs of atypia or malignancy.
Key Diagnoses & Counseling
✅ 1. Benign Nevi (Moles)
Locations: Right and left upper back, left upper arm
Appearance: Symmetric, evenly pigmented, no irregular borders
Education:
Monthly self-skin checks
Warning signs: change in size, shape, color, or symptoms like itching or bleeding
Sunscreen and sun-avoidance emphasized
✅ 2. Solar Lentigines ("Sun Spots")
Location: Left anterior thigh
Cause: Chronic sun exposure
Treatment Options Discussed:
Topical retinoids or brightening creams
Chemical peels or laser therapy
Daily broad-spectrum SPF 30+ sunscreen
✅ 3. Cherry Angiomas
Location: Right abdomen
Characteristics: Bright red, dome-shaped vascular papules
Notes:
Harmless and common
Removable with laser or electrodesiccation if desired
Preventive Education for Young Adults
Even in your 20s, early skin evaluations provide peace of mind and education for lifelong skin health. This patient was advised on:
Daily broad-spectrum sunscreen use
Wearing protective clothing outdoors
Avoiding tanning beds
Monitoring moles monthly using the ABCDE criteria (Asymmetry, Border, Color, Diameter, Evolution)
Follow-Up Plan: Annual full-body skin check unless new symptoms arise
Why This Matters in Katy & Houston, TX
With sunny climates and year-round UV exposure, early skin cancer screenings are essential—even for young adults with no personal or family history. Village Dermatology offers comprehensive full-body skin exams, personalized education, and treatment for everything from sunspots to suspicious lesions.
