Abstract
Seborrheic keratosis is a benign tumor originating from keratinocytes. In this case, a 51-year-old woman with a lump on the left upper eyelid that was growing rapidly, accompanied by itchiness since 1 month. The lumps appeared to be blackish brown, with uneven edges that clinically similar to nevus and malignant melanoma lesions. To rule out the possibility of a nevus, malignant melanoma and other malignancies, excisional biopsy was performed as a diagnostic and treatment management. The similar clinical appearance between benign and malignant lesions is a consideration in performing an excisional biopsy. Histopathological examination in this case, confirmed the diagnosis of seborrheic keratosis as a gold standard that will determine further management. Keywords: Seborrheic keratosis, nevus, malignant melanoma, misdiagnosis
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