RT Book, Section
A1 Smith, Mindy A.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164360845
T1 Sebaceous Hyperplasia
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164360845
RD 2024/04/18
AB A  65-year-old  man  noted  a  new  growth  on  his  face  for  1  year  (Figure  165-1A).  On  close  examination,  the  growth  was  pearly  with  a  few  telangiectasias.  The  donut  shape  and  presence  of  sebaceous  hyperplasia  scattered  on  other  areas  of  the  face  were  reassuring  that  this  is  likely  a  benign  sebaceous  hyperplasia.  To  confirm  our  clinical  impression,  the  lesion  was  examined  with  a  dermatoscope  (Figure  165-1B).  Vessels  extending  toward  the  center  of  the  lesion  from  the  periphery  but  not  crossing  the  center  (like  the  shape  of  a  crown)  were  seen.  This  along  with  the  yellow  color  of  the  sebaceous  glands  strongly  supported  the  diagnosis.  Because  the  patient  wanted  the  lesion  to  be  removed,  a  shave  biopsy  was  performed  to  completely  rule  out  basal  cell  carcinoma  (BCC).  The  patient  was  happy  with  the  cosmetic  result  and  relieved  that  the  pathology  showed  sebaceous  hyperplasia.