{"id":1139,"date":"2023-10-03T09:43:29","date_gmt":"2023-10-03T09:43:29","guid":{"rendered":"https:\/\/blog.skincancer.org\/?p=1139"},"modified":"2023-10-12T14:12:00","modified_gmt":"2023-10-12T14:12:00","slug":"is-actinic-keratosis-skin-cancer","status":"publish","type":"post","link":"https:\/\/www.skincancer.org\/blog\/is-actinic-keratosis-skin-cancer\/","title":{"rendered":"Is Actinic Keratosis Skin Cancer? What You Need to Know About this Common Condition","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

Imagine visiting the dermatologist with concerns about a strange growth on your arm. You breathe a sigh of relief when your doctor tells you that the spot is an actinic keratosis<\/a> (AK), meaning it isn\u2019t malignant\u2026for now. It may stay benign, but it could also turn into a potentially life-threatening form of skin cancer<\/a>. What?<\/p>\n

A staggering 58 million Americans are affected by AKs, but many of them may not know what that means and whether they should be concerned. To clear up the confusion, I spoke with Mary Hall, MD, a board-certified dermatologist practicing in Morgantown, West Virginia.<\/p>\n

A Numbers Game<\/strong><\/h3>\n

\u201cNot all AKs turn into cancer,\u201d Dr. Hall says, adding that your doctor may also refer to this type of growth as a solar keratosis. AKs that turn cancerous almost always become squamous cell carcinomas<\/a> (SCC), the second most common type of skin cancer. Untreated SCCs can become invasive, and even life-threatening. Catching and treating the growth before it becomes an SCC can make a huge difference in your treatment experience.<\/p>\n

\u201cYou want to get them early, before they go squamous, mostly to prevent possible invasion into the skin and internal organs,\u201d Dr. Hall says. \u201cThis is especially important in the head and neck region, as those cancers can be more aggressive. You\u2019re also going to get less scarring than if you waited to remove a growth until it was cancerous.\u201d<\/p>\n

Only about 10 percent of actinic keratoses will eventually become cancerous, but the majority of SCCs do begin as AKs. Unfortunately, there\u2019s no way to tell which<\/em> AKs will become dangerous, so monitoring and treating any that crop up is the only way to be sure.<\/p>\n

Risky Business<\/strong><\/h3>\n

The more ultraviolet (UV) radiation<\/a> you\u2019ve been exposed to, the greater your chance of developing an actinic keratosis. Whether UV rays come from the sun or tanning beds, they\u2019re causing damage that can contribute to AKs. Areas of the body that are usually exposed to the sun tend to develop more AKs than areas we cover with clothing.<\/p>\n

\u201cThe most common places I see them develop are the face, lips, ears, scalp, back of hands and forearms,\u201d Dr. Hall says. \u201cYou also see them on the shin region, depending on the patient. Women can tend to have those lower extremities more exposed than men do, from wearing skirts and shorts.\u201d<\/p>\n

Dr. Hall explained that people with light skin, hair and eyes are at a higher risk<\/a> of developing actinic keratoses, and that those with freckled faces should be aware of a predisposition as well.<\/p>\n

Many Forms, Many Treatments<\/strong><\/h3>\n

What does one of these AKs look like<\/a>? Well, a lot of different things.<\/p>\n

\u201cThey vary widely,\u201d Dr. Hall says. \u201cThey could be thick, red, scaly patches or they could be little \u2014 what we call keratotic nodules. They could be red bumps with a tan crust or could present with a raised little horn-shaped part, called a cutaneous horn.\u201d<\/p>\n

Dr. Hall says to pay attention to anything that keeps coming back or doesn\u2019t heal, just as you would while examining your skin for signs of fully formed skin cancers.<\/p>\n

\u201cI tell my patients that if they have any area like that, to call [the office] and we can get them in right away. That way we can treat them early and prevent squamous cell carcinoma formation.\u201d<\/p>\n

Treatment options<\/a> for AKs run the gamut: Dr. Hall says she usually begins treatment with cryosurgery, but depending on a patient\u2019s preferences and responsiveness, there are plenty of alternatives. Doctors and patients can also decide between laser surgery, photodynamic therapy (PDT), topical medications, curettage and desiccation, chemical peels or a combination of treatments.<\/p>\n

\u201cWe can do combinations of treatments as well,\u201d Dr. Hall says, \u201cbased on the areas of involvement and how many [AKs] you have.\u201d<\/p>\n

Is an Actinic Keratosis Serious?<\/strong><\/h3>\n

It may seem like identifying and treating AKs is more trouble than it\u2019s worth. After all, there\u2019s nothing wrong yet, right? It\u2019s true an AK is a precancer and may never become malignant. But there\u2019s no way of knowing for sure that a lesion on your skin is an AK, and not a skin cancer. Even if it is just an actinic keratosis, assuming it won\u2019t become<\/em> cancerous is an unnecessary gamble. If you\u2019re concerned you might have an actinic keratosis, you owe it to yourself to make an appointment with your doctor.<\/p>\n

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Imagine visiting the dermatologist with concerns about a strange growth on your arm. You breathe a sigh of relief when your doctor tells you that the spot is an actinic keratosis (AK), meaning it isn\u2019t malignant\u2026for now. It may stay benign, but it could also turn into a potentially life-threatening form of skin cancer.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":3,"featured_media":1141,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10],"tags":[29,6,23],"class_list":["post-1139","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-cancer-information","tag-actinic-keratosis","tag-prevention","tag-treatment"],"acf":[],"yoast_head":"\nIs Actinic Keratosis Skin Cancer? 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