If you would like to submit a blog post for consideration, please email email@example.com
Treating Actinic Keratosis In Primary Care
This month’s research article is a scholarly review from the British Journal of Dermatology. The topic of the article is actinic keratosis (AK), which is such a common condition – and $1 billion is spent in the US each year treating it.
I picked this for two reasons. Firstly, it shows how little we know. There is no agreed definition of actinic keratosis, we don’t know how frequent transition to SCC is, and we don’t really know (in a comparative sense) which treatments are better! If you are interested in a comprehensive overview of AK – this paper is worth reading.
The second reason I picked the paper is Table 5 – a summary of available treatment options. What this shows is that most options work reasonably well and that what we recommend for most GPs in Australia makes sense. That is :
1) cryotherapy for individual spot lesions,
2) 5 FU / Efudix for field treatment to the affected area, and
3) curettage for those really thick and crusty lesions that need physical removal.
AK treatment needs careful consideration and thought – not just a quick squirt of cryo!
Professor David Wilkinson
Read more from Professor David Wilkinson on recent research:
- Mohz Micrographic Surgery vs. Wide Local Excision for Melanoma In Situ
- Treating Melanoma in Primary Care
You might be interested in:
- Professional Certificate of Skin Cancer Medicine
Dermoscopy | Biopsy techniques | Surgical treatments | Topical treatments | Medicare billing
- Advanced Certificate of Skin Cancer Medicine
Advanced dermoscopy | Curettage & Cautery | Diathermy | Lower leg grafts | Large ellipses
- Professional Certificate of Skin Cancer Surgery
Rotation flaps | Advancement flaps | Full thickness grafts | Dog ear repairs | Anaesthetic blocks
- Advanced Certificate of Skin Cancer Surgery
Rhomboid flaps | Split thickness grafts | Closure techniques for ear, lip & nose | V-Y flaps
- Professional Diploma of Skin Cancer Surgery
Bilobed flaps | Reconstruction of lower eyelids, lip & ear defects | Anatomy | Perforator island flaps