Get a micrometer out or a caliper and check if theres any deformation in the lobes.
Check them all. If they are all about the same thickness from top to bottom then the cam isnt so bad. But may still need to be replaced.
If all that checks out, then check for deformation "around" the tip of the lobes. Grooves, wear valleys, etc.
46K? that's not half bad for a 550. Especially one in this condition. Too bad the PO didn't take good storage precautions before you picked it up.
Just my $0.02