These growths can sometimes resemble skin cancer, including melanoma, but there are important differences. Seborrheic keratoses usually have a consistent color and clearly defined borders. In contrast, cancerous lesions often have uneven edges, asymmetry, or multiple shades within the same spot. Even so, any growth that changes in size, shape, or color—or begins to bleed—should be evaluated by a healthcare professional to rule out more serious conditions.
Age plays a significant role in their development. Years of sun exposure and the natural aging process likely contribute, and genetics may increase susceptibility. While they can occur in all skin types, they may be more noticeable in lighter skin tones. Friction from clothing can also cause irritation or itching, particularly on the neck.
Doctors can typically diagnose seborrheic keratosis through visual examination, sometimes using a dermatoscope for a closer look. Treatment is usually unnecessary unless the growth becomes irritated or cosmetically bothersome. Options include freezing, gentle scraping, or laser removal. Attempting to remove them at home is discouraged, as picking or cutting can lead to infection. Encouraging your grandpa to discuss any new or changing spots with his doctor can provide reassurance and ensure appropriate care.
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