Actinic Keratosis

Actinic Keratoses, (often called sun spots) are red, scaling areas of skin on parts of the body which are frequently exposed to sunlight. Most notably they occur on the face, ears, neck, forearms and hands in older patients. They are usually not painful or itchy, but may sting when exposed to sunlight, or if they are rubbed or scratched.

Solar Keratoses are not a skin cancer, but occasionally over time may evolve into a squamous cell carcinoma and for this reason they are consider pre-malignant or pre-cancerous and therefore should be treated.

Treatments include sunscreens (SPFs), cryotherapy, immune modulants, photodynamic therapy (PDT), or curettage and cautery.

Actinic Keratoses formation indicates intensely sun damaged skin and is a warning sign that the skin is prone to developing skin cancer. Regularly skin surveillance by Mr Banwell is recommended

Actinic Keratosis

Bowen’s disease

Bowen’s disease is a pre-cancerous condition affecting the skin and is the result of excessive cumulative sun exposure over time

Bowen’s disease usually presents as a red, scaly patch (very similar to actinic keratosis). However, due to the fact that its appearance can vary, a biopsy is usually performed to confirm the diagnosis. Sometimes it can mimic psoriasis or a subtype of skin cancer (basal cell carcinoma)

The site, size and age of the patient dictates treatment, but the most common treatment for Bowen’s disease is now use of immune modulants or photodynamic therapy (PDT) but sometimes curettage and cautery is used or even surgical excision.

Bowens

Further Information

Click here for information on Basel Cell Carcinoma

Click here for information on Squamous Cell Carcinoma

Click here for information on Malignant Melanoma

Surgery fact sheets

Click here for information sheet on Excision of Lesion

Click here for information on Split Skin Grafts (SSG)

Click here for information on Full Thickness Skin Grafts (FTSG)

Click here for information on Local Flap Reconstruction

Please contact Mr Banwell's office on 01342 330302 or email help@skinhealth.org.uk for further information.

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