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Precancer on nose

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Hi,

I went to the dermatologist last week for something on my nose that has been bothering me and she said it looked like pre-cancer. It didn't take her long at all to make that determination.

She offered to freeze it off during the appointment, but on the advice of my primary care doctor I am going to have it looked at by a plastic surgeon since it is right in the middle of my nose. It is about 1/2 centimeter around and kind of indented now and it peels easily from the sun.

So I will have a consultation with the plastic surgeon on June 14th which is the earliest they can see me. I'm a little concerned about waiting, but I have had this mark for over a year, possibly several years. I can't even remember when I got it.

My question is, how important is it to have a biopsy?

The detematologist didn't do one because she said it would add to the scarring that I will be left with.

Should I ask the plastic surgeon to do one?

From all the pictures I have looked at on the internet it certainly looks like a solar keratosis.

Is freezing the only option or can they cut this type of lesion off? I read about the chemical treatment but it doesn't seem like the best option and the dermatologist said she would recommend freezing.

Would appreciate any feedback on my questions.

Thanks in advance,
Steve
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replied May 24th, 2010
Without being able to examine you, I really cannot hazard a diagnosis. You could always seek a second opinion from another Dermatologist after you see the Plastic Surgeon.



Sincerely/ Robert A. Wascher, MD, FACS



www.doctorwascher.com

www.oncoguard.com


A landmark, evidence-based guide to a healthy cancer-prevention lifestyle, based on cutting-edge cancer research.
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replied May 31st, 2010
Experienced User
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replied November 6th, 2012
Precancerous lesion on nose
I went to a dermatologist and had my pre cancerous lesion on the middle of my nose froze off two years ago, and left really no scar. At least a little makeup would cover it up. But the lesion is back again. I'm not sure now what to do. My cardiologist said go back to the dermatologist. But then my cardiologist doesn't study this field. My husband's wound care specialist told me it should be cut out, otherwise, freezing it will not get rid of it. It will just keep coming back. I am not sure whether to believe him or not and cutting will definately leave a scar. But at the same time, not to sound gross, I would rather have a scar than no nose.
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replied November 28th, 2012
Experienced User
Thanks for this.
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replied November 29th, 2012
I would be afraid to use a chemical treatment because they can always accidentally use too little or too much. Scary. Chemicals burn. I'm making an appt. at my dermatologist today. I will try the freezing again or at least hear him out.
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