Case Report: Comprehensive Full-Body Skin Examination in a 73-Year-Old Male
Village Dermatology | Katy & Houston, Texas
Overview
A 73-year-old male presented to Village Dermatology for a routine full-body skin examination, an essential preventive service—particularly for patients with a family history of melanoma. The patient reported several longstanding skin growths that were asymptomatic but wished to ensure none were concerning.
This visit highlights the importance of annual skin cancer screenings, early detection, and patient education in older adults.
Full-Body Skin Examination
A thorough dermatologic examination was performed, including evaluation of the:
Scalp and hair
Face, neck, chest, abdomen, and back
Upper and lower extremities
Nails, digits, groin, and buttocks
A dermatoscope was used to carefully assess pigmented lesions. Overall, the patient appeared healthy, well-nourished, and in no distress.
Key Findings & Diagnoses
Family History of Melanoma
The patient reported a family history of malignant melanoma, increasing his lifetime risk of developing skin cancer. While no suspicious lesions were identified during this visit, the patient was counseled on:
The importance of monthly self-skin exams
Monitoring for moles that change in size, shape, or color
Seeking prompt evaluation for any new or evolving lesions
Benign Nevi (Moles)
Several regular, symmetrical, evenly pigmented moles were identified on the back. These lesions showed no concerning features.
Counseling included:
Monthly self-monitoring
Sun protection with broad-spectrum SPF 30+ sunscreen
Reassurance that no treatment is required unless changes occur
Lentigines (Sun Spots)
The patient had light tan sun-induced macules on the forearms, consistent with lentigines.
Education included:
Lentigines are benign and related to cumulative sun exposure
Sun protection can prevent new lesions
Cosmetic treatments are available if desired
Seborrheic Keratoses
Benign, age-related growths were noted on the cheek and back. A courtesy liquid nitrogen (LN2) treatment was performed on a facial lesion for cosmetic reasons.
The patient was reassured that:
Seborrheic keratoses are non-cancerous
They often increase with age
Additional treatment options, including CO₂ laser, are available if needed
Cherry Angiomas
Small, bright red vascular growths were identified on the trunk.
Counseling emphasized:
These lesions are benign
Treatment is optional and cosmetic only
Laser or electrodesiccation can be performed if desired
Onychomycosis (Toenail Fungus)
The patient exhibited changes in the left great toenail consistent with fungal infection. After discussing treatment options, he elected to pursue topical therapy at this time.
Management plan included:
Prescription topical antifungal solution
Education on expectations and recurrence rates
Discussion of oral antifungal therapy as a future option if needed
Dilated Pore
A benign dilated pore was identified on the back. A courtesy extraction was attempted, and the patient was advised that minor surgical removal may be required if it becomes symptomatic.
Preventive Dermatology Matters
Regular full-body skin exams are critical—especially for patients with a family history of melanoma or significant sun exposure. Early detection allows for the most effective treatment and peace of mind.
At Village Dermatology, we provide comprehensive skin cancer screenings and personalized preventive care for patients throughout Katy and Houston, Texas.
