Actinic keratosis (AK) is a skin condition caused by sun exposure that can lead to skin cancer. If left untreated, AK can lead to squamous cell carcinoma, a type of skin cancer. Therefore, it is important to determine if the AK should be removed.
The decision to have an AK removed depends on several factors, including the size, location, and number of lesions, the patient’s age and medical history, and the patient’s willingness to undergo the procedure. Generally, if an AK is small, asymptomatic, and has not changed in size or shape over time, then it may not require removal. However, if the AK is large, has changed shape or size, is symptomatic, or is located in an area that is difficult to manage (such as on the face), then removal is usually recommended. Additionally, if a patient is at a higher risk for skin cancer due to age or medical history, then removal may also be recommended.
If it is decided that the AK should be removed, there are several options for treatment. The most common is cryosurgery, which involves freezing the AK with liquid nitrogen. This is a safe and effective procedure that can be done in a doctor’s office. Other options include curettage (scraping the AK off the skin) and topical medications, such as imiquimod or 5-fluorouracil, which can be used to reduce the size of the AK.
Ultimately, it is important to speak with a doctor to determine if an AK should be removed. If removal is recommended, then there are several effective treatment options that can be used to safely and effectively remove the AK.