Can a basal cell carcinoma start out like a pimple and shrink down until only a red spot is left?

Question

I am 64, but still get a pimple every once in a while. I also have slight rosacea, although I don't drink at all. I am a fair skinned redhead who burned a few times as a child.  I had a BCC removed by MOHS last year.  Less than two weeks ago, I got a pimple about an inch away from the BCC.  It Was tender and hurt like a normal pimple.  But it never came to a head.  It was quite big.  I used benzoyl peroxide at night, but for the first time, I applied Apple cider vinegar during the day. I just used my finger and patted it on a couple of times a day. It is practically flat now and not as red as it was, but still a reddish pink spot.  The color will not return to normal.  Could this possibly be the Apple cider vinegar?  I only used it a couple of days and stopped four days ago.  Or is it possibly a BCC?

Luis Villar, MD, FACS · Answer

Basal cell carcinomas come in all size, shape, and colors. Typically lesions increase in size as the malignant cells multiply exponentially.  However, tumors like people, have temporary setbacks. The immune system may recognize and attack them. Topical chemicals and pressure may retard them.  They may out pace their circulation. There are many known and unknown rears for regression.The important thing is to get them, before they get you.  A simple biopsy will give a difinitive diagnosis and eliminate sleepless nights.  When in doubt, check it out.

F. Victor Rueckl, MD (in memoriam) · Answer

Based on the location and what you are describing it might be quite possible that it's a BCC. Please make an appointment for an in-person exam and that person will do a biopsy if needed. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

Robert E. Zaworski, MD (retired) · Answer

The only way to know if you have a Basal Cell or Squamous Cell Carcinoma is with a biopsy.  I have seen them start the way you described.  Take care!  Dr. Z

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Can a basal cell carcinoma start out like a pimple and shrink down until only a red spot is left?

Answers (3)

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