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Most seborrheic keratoses do not require treatment. You should see a dermatologist if the growth:
Grows quickly, turns black, itches, or bleeds (possible signs of skin cancer)
Appears suddenly, along with many other new skin growths (possible sign of cancer inside the body)
Differs from what a typical seborrheic keratosis looks like
Looks dry, flat, rough, and scaly (it could be an actinic keratosis, which can progress to a type of skin cancer)
Becomes easily irritated, such as from shaving or clothes rubbing against it
Displeases you and you want it removed
Do not try to remove a seborrheic keratosis yourself. There is a risk of infection.