What is the common finding in a skin examination of a patient with seborrheic keratosis?

In a skin examination of a patient with seborrheic keratosis, the common finding is a "stuck-on appearance." This characteristic is due to the raised, often well-circumscribed lesions that can range in color from light tan to dark brown or black. These lesions typically have a smooth or slightly rough texture and appear as if they are "stuck on" the skin, hence the name. This unique appearance helps to differentiate seborrheic keratosis from other skin conditions.

The "stuck-on appearance" is particularly noteworthy because it highlights the benign nature of seborrheic keratosis, which is a common skin tumor seen mostly in older adults. Unlike other skin lesions, such as basal cell carcinoma or squamous cell carcinoma, seborrheic keratosis does not involve unusual borders or irregularities that might suggest malignancy.

Other options, while describing different skin conditions, do not pertain to seborrheic keratosis. Pearly papules are typically seen in basal cell carcinoma; silvery scales are characteristic of psoriasis; honey-crusted lesions suggest impetigo or other infections. Understanding these distinctions is vital for accurate diagnosis and treatment planning.