


Widespread dark spots on balding scalp over 4-5 years. Dermat diagnosed Seborrheic Keratosis and suspected Follicular Lichen Planus, but terrified it could hide skin cancer. Looking for reassurance on these signs.
Hi everyone,
I’m incredibly anxious about multiple dark brown spots slowly multiplying on my 48-year-old dad’s balding scalp over the last 4 to 5 years.
The patches are flat and smooth, varying in size and shape—including a large, uneven central one. They don't expand rapidly, itch intensely, burn, or bleed. A few normal hair strands grow straight out of some patches, though he has general hair thinning across the center of his head.
We saw a dermatologist who didn’t seem bothered at all. He brushed it off, saying it is just seborrheic keratosis (benign age spots) and suspected follicular lichen planus (follicle inflammation). He didn't order a biopsy or any further testing.
My anxiety is still lingering because of the large, uneven shape of the central spot and the fact that hair isn't growing through every single patch.
Given the 5-year timeline, does this truly rule out skin cancer?
Please give some clarification everyone is ignoring the posts