ACTINIC KERATOSIS AND ITS TREATMENTS IN THE LAST 4 YEARS: A REVIEW .

Abstract

Background: Actinic keratoses are premalignant lesions that can progress to squamous cell carcinoma and are characterized by a proliferation of atypical keratinocytes. They are erythematous, scaly macules that we find mainly in areas exposed to the sun. It is a frequent problem in the consultation.

Objective: To collect information about the treatment of actinic keratoses in the last four years, in order to offer it in an orderly and synthesized way to every student, primary or secondary care physician who is interested in this subject.

Diagnosis: It can be done through a clinical examination, histopathology, but there are also other options available in specialized dermatology centers.

Treatment: Varies depending on the patient, preferences, comorbidities; and of the injury, if it is isolated or is a field, the degree of the injury, its location, the number of injuries, previous treatments. In general we can divide them in two groups: treatments for isolated lesions, 5-fluorouracil, phototherapy, imiquimod, diclofenac, ingenol mebutate; and treatments for cancer field, cryotherapy, electrocoagulation, curettage.

Conclusions: At the time of treating these injuries we have several options. By recognizing the best for our patient and its correct use, we will obtain better results and fewer recurrences.