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Actinic Keratosis

Actinic Keratosis can often be the first step in the development of skin cancer. It is known as a precancerous condition. It is caused by sun damage and may develop into any type of cancer. It is characterized by:

--dry, crusty, rough appearance

--an abnormality or lesion in the skin of about a quarter to an eight of an inch in diameter

--red, pink, tan, or flesh color patch

--tender, tingling sensation, or itchy

These lesions or abnormalities of the skin are most often found in the following areas:

--face

--neck

--ears

--bald head

--backs of hands

--forearms

--lips

It is imperative to see your doctor if you find these abnormalities or lesions on your skin, especially if they tend to become redder and tenderer, as 10% of these could develop into skin cancer. With that said, most of these will not develop into anything life threatening, but it is better to have them checked on a regular basis. If left unchecked they could become larger, invade other tissues, or metastasize. This is a risk no one needs to take.

An Aggressive Form

The most aggressive form is called actinic cheilitis. It most commonly occurs on the lips. Approximately 20% that do develop into squamous cell carcinoma will metastasize, spreading to other parts of the body.

Risk Factors

--Those whom have spent a lot of time in the sun or tanning beds (even if you have dark skin)

--Fair skinned people

--Blonde or redheads

--People with blue, green, or gray eyes

--People undergoing chemotherapy

--People with AIDS

--People who have had transplants

--People of African ancestry rarely develop this

Treatment

Cryosurgery-Where the lesions are frozen off with an application of liquid nitrogen.

Curettage-Which is the scraping of the lesions.

Shave removal-Removal of the Keratosis by scapel.

Chemical Peels-Done with various acids.

Topical creams-Used mainly if numerous lesions are present.

1 in 6 people will develop actinic keratosis in their life time. Your doctor needs to know for early treatment. With his/her care you could be stopping cancer in its tracks. We all know that this is a good thing to do. Don’t let cancer take your life.

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