Suggest A Remedy For Hypertrophic Actinic Keratosis

I have atypical hypertrophic actinic keratosis on the tip of my nose. It has been there for 2 years. I have had 4 biopsies in that time. Treatments started with burning it off twice, but the NP only lightly sprayed it and it was ineffective. Next I tried 2 rounds of fluoruracil, then picato, then aldara. All were ineffective. My dermatologist says to just keep it moist and maybe it will resolve itself. However, it is getting worse, so I tried black salve. It was very destructive so I was afraid to continue and the hole it left has not just filled back up with hypertrophic tissue. Since the diagnosis does not allow Mohs, I think canabis oil is probably the best solution, but it is not availalbe to me. . I would appreciate any recommendations or the name of a hypertrophic actinic keratosis specialist in Ohio.