sebaceous hyperplasia

Epidemiology

• common in the elderly,
• face, forehead & cheeks most common

Pathology

• one or more greatly enlarged sebaceous glands with numerous lobules grouped around a central wide sebaceous duct
• some lobules fully mature, others show more than one row of generative (undifferentiated lacking lipid droplets) cells

* histpathology images

Clinical manifestations

• papules 1-3 mm in diameter with telangiectasia & central umbilication
• soft to palpation
• with firm lateral compression, a small globule of sebum may be expressed from the umbilicated part of the lesion

* images

Differential diagnosis

• sebaceous adenoma
• nevus sebaceus
• rhinophyma
• basal cell carcinoma

Management

• treatment not necessary
• electrocautery

More general terms

• hyperplasia
• sebaceous gland neoplasm

More specific terms

• Fordyce spot (granule)

Additional terms

• sebaceous gland