
Treatment:
Actinic Keratosis
Precancerous Lesions
There are several treatments your health care professional may use for
your actinic keratosis. Choice of treatment depends on the extent and
location of the precancerous lesions.
Topical chemotherapy
- Uses chemotherapy agents, like 5-fluorouracil (Efudex, Carac),
to treat precancerous cells.
Topical immunomodulators
- Imiquimod (Aldara) is a recently FDA (Food and Drug Administration)
approved topical cream that may stimulate an immune response against precancerous
cells.
Topical anti-inflammatory agents
- Diclofenac (Solaraze) is another recently FDA approved topical
gel that may eliminate some actinic keratoses over a 90-day treatment
period.


Cryotherapy
- Precancerous lesions are frozen and destroyed with liquid nitrogen.
Curettage and Electrodesiccation
- Precancerous lesions are scraped away with a curette, a semi-sharp,
scoop-shaped instrument. The area is then cauterized with an electric
needle to control bleeding and treat any remaining precancerous cells.


Photodynamic therapy (PDT)
- Combines a drug (called a photosensitizer) with a specific type of
light to treat precancerous cells.
Resurfacing
- A laser is used to remove or destroy precancer cells.
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