### Patient: Doctor, I have noticed a small bump on my skin that has been growing slowly for a while. It feels rough to the touch, and it's starting to bother me. Can you tell me what could be causing this?
### Doctor: Based on your description, it sounds like you may be dealing with a skin polyp. To confirm this, we will need to perform a complete physical skin exam performed, as well as a biopsy. Once we have a clear diagnosis, the next step will likely be excision, or removal of the polyp. We may also need to consider wound care management and other diagnostic and therapeutic procedures on the affected area.