Clinical Application Questions

A 65-year-old white man is seen at your office for multiple scaling lesions over his face, ears, neck, and the V of the chest. These have developed gradually over several years. He is an outdoor sportsman. He is concerned about the character and potential of these lesions, and would like to have them removed because they are itchy and irritable. Physical examination of the involved regions reveals multiple actinic keratoses (AKs). Careful examination reveals no lesions that appear overtly malignant.

1. What are the primary lesions that you would expect to find in actinic keratoses?

2. What are the secondary lesions that you would expect to find in actinic keratoses?

3. What should you tell the patient about actinic keratoses?

4. How should you treat actinic keratoses in this patient?

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