Many people get seb K’s, but the sudden appearance of many of them, particularly when they itch and the underlying skin is inflamed, can herald an internal cancer — especially gastrointestinal cancers.
Dear Dr. Roach: I am a 70-year-old woman who has led a healthy, active life. There is a history of cancer on both sides of my family. I’ve been seeing my dermatologist for seborrheic keratoses for many years. The “seb Ks” that have been biopsied were all been benign. In the past several months, they have grown to be very large or small warts that cover my arms and back. They itch terribly.
Many people get these, but the sudden appearance of many of them, particularly when they itch and the underlying skin is inflamed, can herald an internal cancer — especially gastrointestinal cancers. However, some people get this abundance of seb Ks in the absence of any illness, with benign tumors, or with pregnancy.
There is not a right answer for everyone. Since it sounds like your seb Ks didn’t suddenly arrive but have suddenly changed, the CT scan is worth careful consideration, especially considering your family history. You should certainly have a colonoscopy if you aren’t up to date. When a lymph node is present, chemotherapy is recommended to eradicate any cancer cells that may have spread but are too small to see. Chemotherapy after surgery increases the cure rate in people with even a single cancerous lymph node. The benefit is not huge — somewhere between 3% and 8% of people will be cured by chemotherapy who would not have been cured without it.
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