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October 1986

Giant Senile Sebaceous Hyperplasia

Author Affiliations

Suite 1, 171 Boronia Rd Boronia 3155, Australia

Arch Dermatol. 1986;122(10):1101. doi:10.1001/archderm.1986.01660220015006

To the Editor.—  Senile sebaceous hyperplasia is a benign enlargement of the normal sebaceous gland. The lesions are usually found on the forehead and cheeks of elderly men. The typical lesion is small, yellow, and has a characteristic central umbilication that helps to distinguish it from a basal cell carcinoma.1 We have recently treated a man who had a very large, solitary lesion of senile sebaceous hyperplasia. was taken, and showed large, mature sebaceous glands opening into wide ducts. There was scarring in the upper dermis and moderate solar elastosis. The epidermis did not show any changes of malignancy (Fig 3). The patient declined any further treatment when he learned that the lesion was not malignant. Interestingly, the lesion spontaneously shrank by about one-third after the biopsy was performed. The biopsy specimen was much smaller than the amount of shrinkage.

Report of a Case.— 

Comment.—  The unusual feature of