Archived Case 25

This is the classic appearance of Seborrheic Keratosis

The density results not from calcification but from the accumulation of various substances on the skin, such as lotion, in the crevices of the lesion.

What is your assessment of this patient’s palpable lump?

Negative mammogram. Recommend ultrasound for further work-up.
Negative mammogram. An ultrasound is not indicated because the area is fat density.
Negative mammogram. Recommend 6 month follow-up to ensure that there is no malignancy.
Negative mammogr . Recommend core biopsy of the palpable finding.