Full Body Skin Examination Case Report: Identifying Benign Skin Lesions in a 62-Year-Old Male
Village Dermatology | Katy & Houston, Texas
Regular full body skin examinations are a critical part of preventive dermatologic care—especially as we age. At Village Dermatology in Katy and Houston, Texas, we routinely evaluate patients for skin cancer and other concerning lesions while also providing reassurance when findings are benign. This case highlights the importance of annual skin checks, even when patients have no specific concerns.
Patient Presentation
A 62-year-old male, new to Village Dermatology, presented for a full body skin examination (FBSE). The patient reported no current concerns but undergoes annual skin monitoring for long-standing lesions. He noted several asymptomatic lesions on the abdomen and right upper back that have been present for years without noticeable changes.
Comprehensive Skin Examination
A thorough dermatologic examination was performed, including evaluation of the scalp, face, ears, neck, chest, abdomen, back, upper and lower extremities, hands, feet, and nails. A dermatoscope was used to closely examine pigmented lesions. The patient declined examination of the genital area, which was respected.
Overall, the patient appeared well, with normal mood and affect, and no signs of acute distress.
Key Dermatologic Findings & Assessment
1. Benign Nevi (Moles)
Multiple regular, symmetrical, evenly pigmented macules and papules were identified. These findings were consistent with benign nevi, requiring no treatment at this time.
Patient counseling included:
Monthly self-skin checks
Monitoring for changes in size, shape, or color
Contacting the office if lesions itch, bleed, or evolve
2. Irritated Seborrheic Keratosis
One inflamed, crusted seborrheic keratosis was noted on the left mid-upper back.
Treatment:
Liquid nitrogen cryotherapy
Two freeze–thaw cycles performed after informed consent
The patient was counseled on expected post-treatment effects, including scabbing or temporary pigment changes.
3. Seborrheic Keratoses (Non-Irritated)
Additional stuck-on, warty brown papules were identified and diagnosed as seborrheic keratoses.
These lesions are benign and common with aging
No medical treatment required
Cosmetic removal is optional
4. Lentigines (Sun Spots)
Light tan macules in sun-exposed areas were consistent with solar lentigines.
Counseling included:
Importance of daily broad-spectrum sunscreen (SPF 30+)
Sun avoidance and protective clothing
Discussion of cosmetic treatment options such as retinoids, chemical peels, and laser therapy
5. Cherry Angiomas
Several bright red vascular papules were noted.
Benign vascular growths
No treatment necessary unless cosmetically desired
6. Epidermal Inclusion Cyst
A subcutaneous cyst with a visible follicular opening was found on the left anterior lateral proximal thigh.
Benign and non-infected
No treatment needed unless painful, inflamed, or ruptured
Patient Education & Prevention
The patient received extensive education on:
Monthly self-skin exams
Sun protection strategies
Proper sunscreen use and reapplication
When to seek dermatologic evaluation
Follow-Up Plan
The patient was advised to return for a routine full body skin examination in one year, or sooner if any lesions change or become symptomatic.
Why Full Body Skin Exams Matter
Even when no symptoms are present, full body skin exams help detect early skin cancer, monitor existing lesions, and provide peace of mind. At Village Dermatology, our board-certified dermatology team proudly serves patients throughout Katy, Houston, and surrounding Texas communities with comprehensive skin cancer screenings and personalized care.
