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  • Basal Cell Carcinoma vs. Sebaceous Hyperplasia

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    Old 11-05-2017, 06:31 PM   #1
    MountainReader
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    Basal Cell Carcinoma vs. Sebaceous Hyperplasia

    Hi.

    I am in my 40's and have developed sebaceous hyperplasia with increasing frequency on my face. I understand this is fairly normal at this age and I have accepted this up until now. A few months ago, during a skin check, the Dermatologist found a suspicious spot which turned out to be basal cell carcinoma and required MOHS surgery. My concern is that it presented as a 'mimicer'. To me, it didn't look like anything with concerning ABCD symptoms. It looked like the other spots of sebaceous hyperplasia to me. The doctor was able to see the difference with his magnifyer and knew immediately it looked bad. I ended up with a square inch scar on my face for what I viewed as a small hyperplasia spot.

    I am concerned about missing any future cancereous spots since this one mimiced the other spots on my face. The Dermatologist has said the best treatment for the sebaceous hyperplasia is Accutane, which does have side effects. I am faced with a choice of not treating the hyperplasia and worrying about missing more cancer or drug treatment that has side effects. I worry about my higher risk since I have already had a cancerous spot and since my parents have a history of skin cancer. Has anyone else experienced anything similar? This really is a decision weighing on my and I would love to hear from others experiences.

    Thank you.
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