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The indication for treatment of seborrhoeic keratosis is patient concern over irritation or cosmesis. Infrequently, lesions may be removed to confirm the diagnosis or benign nature of a clinical change.

Treatment modalities include:

  • surgical excision: the recommended route if the features are not entirely suggestive of classical seborrhoeic keratosis
  • curettage
  • cryotherapy: may be associated with subsequent changes in pigmentation
  • laser therapy, eg the Q-switched ruby laser
  • topical trichloroacetic acid

Last reviewed 01/2018