A patient hub for benign skin lesions and diagnostic uncertainty — moles, atypical naevi, "stuck-on" growths, viral lesions, fibrous bumps, small cysts and "is this concerning?" lesions. A focused 20-minute medical assessment with Dr Chris Irwin, including dermatoscopic review where appropriate. Histology is sent in almost all removal cases.
- Many skin lesions look similar — accurate diagnosis matters before treatment or removal.
- Some lesions are harmless but annoying; others need monitoring or biopsy for diagnostic certainty.
- A focused 20-minute appointment with dermatoscopic review is the fastest pathway when you are unsure.
- Histology is sent in almost all removal cases for safety and certainty — not optional.
- Removal options chosen on medical appropriateness AND cosmetic outcome — shave + base treatment, laser, radiofrequency, cryotherapy, or surgical excision.
- Changing, growing, bleeding or non-healing lesions are routed to the skin-cancer pathway, not benign-lesion management.
- Atypical / dysplastic naevi may be monitored rather than removed when features and risk profile justify watchful waiting.
- Sub-hub covers pigment lesions, "stuck-on" growths, viral lesions, fibrous bumps, small cysts and texture concerns.
- Patient pathway is the same at both clinics — Ivanhoe and Diamond Creek.
- When you are unsure what a spot is, this is the right starting page.
Other Dermatological Conditions
A patient hub for benign skin lesions and diagnostic uncertainty — moles, atypical naevi, "stuck-on" growths, viral lesions, fibrous bumps, small cysts and "is this concerning?" lesions. A focused 20-minute medical assessment with Dr Chris Irwin, including dermatoscopic review where appropriate. Histology is sent in almost all removal cases.
Quick definition
The “Other Dermatological Conditions” hub at The Skin Doctor is the patient pathway for benign skin lesions and diagnostic uncertainty — moles, atypical naevi, “stuck-on” growths, pigment spots, viral lesions, fibrous bumps, small cysts and texture concerns. A focused 20-minute medical assessment with dermatoscopic review produces a clear diagnosis and a sensible plan — monitor, treat, remove, biopsy or refer. Histology is sent in almost all removal cases, not optionally. Changing, bleeding or non-healing lesions are routed to the skin-cancer pathway, not benign-lesion management.
Not every skin concern fits neatly into acne, rosacea, eczema or seborrhoeic dermatitis. Many people simply notice a new spot, a changing mole, a persistent bump or a patch of pigment and want a clear answer.
This sub-hub is the patient pathway for “everything else” — common benign lesions and general diagnostic uncertainty — with direct links to the individual condition pages and a clear starting point if you are unsure. (1–3)
When to book promptly
Book promptly if you notice:
- a new or changing mole — size, colour, shape, bleeding, itching (3)
- a spot that is growing quickly, crusting or bleeding
- a non-healing area on sun-exposed skin
- a lesion that looks “stuck-on” but is changing or irritated
- any lesion you feel uncertain about — particularly with higher skin cancer risk factors (fair skin, history of significant sun exposure, prior skin cancer, family history, immunosuppression) (3)
What we can help with
This sub-hub covers:
- moles and atypical / dysplastic naevi — monitoring versus removal for diagnostic certainty (2)
- benign “stuck-on” growths and pigment spots (seborrhoeic keratoses) (1–4)
- viral lesions including warts and molluscum (5)
- fibrous bumps (e.g. dermatofibroma)
- small cysts and superficial lumps
- texture and “bumpy skin” concerns (e.g. keratosis pilaris) (6)
- general diagnostic uncertainty — when you simply want a clear answer
The individual condition cards below take you to a dedicated patient page for each.
What happens at your appointment
A focused 20-minute medical assessment with Dr Chris Irwin:
- history — when you first noticed the lesion, what has changed, symptoms, prior skin cancer history, sun exposure, family history
- clinical and dermatoscopic review — examination of the lesion (and surrounding skin where relevant) under polarised and non-polarised dermoscopy
- a clear diagnosis — or, where the lesion is genuinely indeterminate, a clear next step (biopsy, photographic monitoring, referral)
- a plan — monitor, treat, remove, biopsy or refer, depending on the lesion
If you would like a full-body skin check rather than a focused single-lesion assessment, that is a separate, longer appointment via the Skin Checks pathway.
Removal options (when appropriate)
For benign lesions, removal is sometimes chosen because:
- the lesion is irritating — snagging, bleeding, inflamed
- histology is needed for certainty
- removal offers the best cosmetic pathway for that lesion type, depth and location
Options may include:
- shave excision + base treatment — common for benign raised lesions
- laser — selected pigmented, vascular and superficial lesions
- radiofrequency — precise removal of superficial benign growths
- cryotherapy — selected viral and pigmented lesions
- surgical excision — for lesions requiring histology, deeper lesions, or where cosmetic margin matters
The right approach is chosen on medical appropriateness AND cosmetic outcome for the specific lesion.
Book a 20-minute appointment
If you have a lump, bump, mole or pigment change and would like a clear diagnosis and a sensible plan, the booking flow takes you to a 20-minute focused appointment with Dr Chris Irwin at Ivanhoe or Diamond Creek. Both clinics operate the same patient pathway:
- Ivanhoe — Unit 1/1065 Heidelberg Road, Ivanhoe VIC 3079
- Diamond Creek — Shop 12/67 Main Hurstbridge Road, Diamond Creek VIC 3089
References
- DermNet NZ. Common benign skin lesions. dermnetnz.org/topics/benign-skin-lesions
- DermNet NZ. Atypical naevi (dysplastic nevi). dermnetnz.org/topics/atypical-melanocytic-naevus
- Australasian College of Dermatologists. Skin cancer information. dermcoll.edu.au/skin-cancer
- Australasian College of Dermatologists. Seborrhoeic keratoses. dermcoll.edu.au/atoz/seborrhoeic-keratoses
- Australasian College of Dermatologists. Molluscum contagiosum. dermcoll.edu.au/atoz/molluscum-contagiosum
- DermNet NZ. Keratosis pilaris. dermnetnz.org/topics/keratosis-pilaris
Moles
Dysplastic Naevi
Atypical moles — monitoring vs. removal based on features and risk profile.
Moles
Harmless Moles / Naevi
Reassurance, monitoring strategies and when removal is sensible.
Moles
Melanocytic Hyperplasia
An uncertain pigment-cell result on a mole biopsy — what it means and the options.
Pigment
Solar Lentigo
Sun-related pigment spots — how we assess and treat them.
Lumps
Seborrhoeic Keratosis
Very common benign "stuck on" lesions that can mimic more serious conditions.
Lumps
Sebaceous Hyperplasia
Benign yellow oil-gland bumps that can mimic a basal cell carcinoma.
Lumps
Dermatofibroma
Firm benign nodules that can be tethered and persistent.
Cysts
Milia
Small superficial cysts and safe treatment options.
Lesions
LPLK
A regressing inflammatory lesion that can mimic other pigment changes.
Viral
Warts
Common viral lesions with multiple treatment options.
Viral
Molluscum Contagiosum
Common in children — management depends on extent and symptoms.
Texture
Keratosis Pilaris
"Chicken skin" bumps from keratin plugging — harmless but bothersome.
Cancer
Skin Cancer Types
For changing spots, bleeding lesions or non-healing areas, start here.
Frequently asked questions
-
If it's benign, should I still remove it?
Not necessarily. Many benign lesions can be safely monitored rather than removed. Removal is typically chosen for one of three reasons: symptoms (the lesion catches, bleeds, snags or is irritated by clothing or jewellery), cosmetics, or diagnostic certainty (the lesion's appearance is atypical enough that histology is warranted). The right decision is made at the appointment after dermatoscopic review and a discussion of risks vs benefit for your specific lesion. -
If I'm not sure what a spot is, which page should I start with?
Start here. A focused 20-minute appointment with dermatoscopic review is the fastest pathway to a clear diagnosis and a sensible plan. If your concern is a changing, growing, bleeding or non-healing lesion, the Skin Cancer Types page covers the cancer pathway specifically — but if you are unsure which pathway you need, this sub-hub is the right starting point. -
Do you send lesions for histology?
Almost always, yes. We believe sending removed lesions for histopathology is the safest and most thorough approach — the clinician's dermatoscopic impression is highly accurate but not infallible, and histology confirms diagnosis, completeness of removal and any unexpected findings. The few cases where histology might not be sent are discussed individually at the appointment (e.g. very superficial cosmetic shaves of clearly benign lesions where histology would not change management). -
When should I book promptly rather than wait?
Book promptly if you notice a new or changing mole (size, colour, shape, bleeding, itching), a spot that is growing quickly, crusting, or bleeding, a non-healing area, a lesion that looks 'stuck-on' but is changing or irritated, or any lesion you feel uncertain about — especially if you have higher skin cancer risk factors (fair skin, history of significant sun exposure, prior skin cancer, family history, immunosuppression). -
What's the difference between a mole that needs monitoring and one that needs removal?
It depends on clinical and dermatoscopic features, the lesion's stability over time, your personal and family history, and your overall risk profile. Many atypical / dysplastic naevi can be safely monitored with photographic and dermatoscopic review at planned intervals; others have features that justify removal for histology. The decision is made by the doctor at the appointment based on the specific lesion, not a blanket rule. -
What removal options do you offer?
Multiple options, chosen on medical appropriateness AND cosmetic outcome for the specific lesion type, depth and location: shave excision + base treatment (common for benign raised lesions), laser (selected pigmented, vascular and superficial lesions), radiofrequency (precise removal of superficial benign growths), cryotherapy (selected viral and pigmented lesions), or surgical excision (for lesions requiring histology, deeper lesions, or where cosmetic margin matters). -
Do you do skin checks at this appointment, or is that separate?
This appointment is a focused 20-minute assessment of a specific concern or small number of concerns — not a full-body skin check. If you would like a full-body skin check, that is a longer dedicated appointment via our Skin Checks pathway. If during this appointment we identify other lesions of concern, we will recommend the full-body pathway as a separate appointment. -
Do I need a referral?
No referral is required. You can book directly. A referral from your GP or another treating clinician is welcome — it helps with collegial communication and continuity of care — but it is not a barrier to accessing the service. Both clinics (Ivanhoe and Diamond Creek) operate the same way.
Medically reviewed by Dr Christopher Irwin, MBChB, FRACGP, MMed (Skin Cancer), FACAM, MSCCA · Last reviewed 2026-06-06 · Editorial policy