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What Causes A Cancerous Spot On Medial Side Of Face?

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Posted on Fri, 29 May 2015
Question: I have a question about a spot on my face. Dermatologist said it was some kind of cancerous spot (didn't seem overly concerned) and froze it with liquid nitrogen. Less than 6 weeks later the spot is back and is as bad or worse than before. It itches and is red (about the size of a dime but not round, just irregular in shape. Somewhat hesitant to go back to the same doctor but would like to know what this is and why treatment didn't work. I would also like to know what type of "cancer" it likely is - I know many of them aren't too serious but I want to make sure I get the right treatment and avoid another failed attempt or something that could make a large blemish as a result.
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
Need some details+a few more Images.

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I have also reviewed the Image.

I can see a red patch of skin just adjacent to nose on right side. Seems a flat lesion in this Image to me Or is it raised?? let me know..

A possibly cancerous spot on medial side of face is indicative of a basal cell carcinoma (BCC) but this does'nt look like one to me.
BCC is usually a raised nodule Or an ulcer with rolled out margins.

Another possibility is that it is Actinic Keratosis (AK) which usually presents as a scaly red patch of skin on sun exposed skin. Ak is precancerous.

-I would like to know the duration since you noticed this first?

-When you first noticed this was it raised Or was it flat?

-Was it scaly? Did it itch always?

- is the surface smooth Or rough?

-Any history of ulceration?

Can you upload a few more clear Images for better comprehension..

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Kakkar (18 hours later)
Hello, answers to your questions below:
The area is pretty much flat (not raised).

I first had this appear about 9-10 weeks ago. I had it frozen about 6 weeks ago and about 80% of it went away for 2-3 weeks before coming back a week ago.

It was flat when I first noticed it and it has always been sandpaper like.

It usually feels scaly or sandpaper like (some days more than others).

It has always itched (but some days more than others)

The only ulcers I have had are in my mouth (canker sores) which I have pretty regularly. No ulcers in the digestive track that I am aware of.

I am uploading 4 more pictures
doctor
Answered by Dr. Dr. Kakkar (2 hours later)
Brief Answer:
Use a moderately potent topical steroid cream

Detailed Answer:
Hi. I have reviewed the Images.

This does'nt look to me cancerous at all.
I suggest a possibility of Seborrheic dermatitis, which can present as dry, red, scaly, itchy patches on sides of nose.
I suggest you to use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream Or triamcinolone acetonide 0.1% cream, twice daily.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (13 hours later)
ok - that is interesting. I read a little about this condition and I wonder if it could have anything to do with the white / yellow flaky patches that accumulate in both of my ears - that started about a year ago. It isn't painful, just irritating because the flakes are embarrassing and I find myself always wanting to pick at them to get them out. Pretty disgusting - any likelihood that is also Seborrheic dermatitis?
doctor
Answered by Dr. Dr. Kakkar (2 hours later)
Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi.

Yes, it is seborrheic dermatitis too.

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9611 Questions

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What Causes A Cancerous Spot On Medial Side Of Face?

Brief Answer: Need some details+a few more Images. Detailed Answer: Hello. Thank you for writing to us I have taken note of your query and I have also reviewed the Image. I can see a red patch of skin just adjacent to nose on right side. Seems a flat lesion in this Image to me Or is it raised?? let me know.. A possibly cancerous spot on medial side of face is indicative of a basal cell carcinoma (BCC) but this does'nt look like one to me. BCC is usually a raised nodule Or an ulcer with rolled out margins. Another possibility is that it is Actinic Keratosis (AK) which usually presents as a scaly red patch of skin on sun exposed skin. Ak is precancerous. -I would like to know the duration since you noticed this first? -When you first noticed this was it raised Or was it flat? -Was it scaly? Did it itch always? - is the surface smooth Or rough? -Any history of ulceration? Can you upload a few more clear Images for better comprehension.. Regards