Full Body Skin Check Reveals Multiple Lesions in 55-Year-Old Female with Skin Cancer History
Case Report from Village Dermatology – Serving Katy and Houston, Texas
By: Dr. Caroline Vaughn
Overview
Skin cancer surveillance remains critical for patients with a history of non-melanoma skin cancers. This case report features a 55-year-old female patient seen at Village Dermatology in Katy, Texas, for full body skin evaluation due to a newly identified skin lesion on her left thigh and past history of squamous cell carcinoma (SCC).
Patient Background
The patient, a well-nourished and alert 55-year-old woman, presented for evaluation of a skin lesion on her left thigh. She had previously undergone Mohs surgery for SCC performed by Dr. Wang in May 2025. She reported no symptoms such as pain or bleeding but wanted an evaluation due to her personal history of skin cancer.
Clinical Findings
Upon examination by our dermatology team, several findings were noted:
Left Thigh: A small lesion identified and monitored; associated with her history of SCC.
Right Labium Majus: An irritated seborrheic keratosis (SK) presenting as a crusted, inflamed papule. The lesion was frequently rubbed by clothing, causing discomfort and itching.
Right Plantar Foot: A verruca plantaris (plantar wart), a common but stubborn viral lesion often resistant to treatment.
Right Anterior Thigh: A cyst measuring 1.7 x 1.5 cm, asymptomatic and currently under observation.
Suspected Insect Bite: A small area of swelling and itching on the lower extremity was noted. Over-the-counter hydrocortisone was recommended.
Treatment & Recommendations
Cryotherapy: Liquid nitrogen was used to treat the seborrheic keratosis and plantar wart. Risks including blistering, pigmentary changes, and recurrence were reviewed with the patient.
Observation: The epidermal cyst was not inflamed and did not require removal unless it became bothersome.
Education: Given her history of SCC, the patient was counseled on:
Monthly self-skin checks.
Broad-spectrum SPF 30+ sunscreen.
Avoidance of prolonged sun exposure.
Watching for lesion recurrence or new, non-healing spots.
Why Full Body Exams Matter
For patients like this, regular full body skin exams are essential. Past skin cancers increase the risk of developing new ones. Catching lesions early—before they progress—can dramatically reduce complications and treatment complexity.
At Village Dermatology, we prioritize long-term skin health and personalized patient care, especially for high-risk individuals in Katy and Houston, Texas.
