Like a Preview of a Skin Cancer Movie — Actinic Keratoses

Skin Cancer Honolulu, HawaiiNow that we’ve hit June, we’re in the height of summer movie madness. It’s crazy how many previews they’ll throw before a movie during a summer show.

When it comes to your skin, there’s a preview of something to come, as well. They are called actinic keratoses, and they basically are a preview of squamous cell carcinoma or basil cell carcinoma skin cancer.

At Matsuda, Drs. Matsuda and Sheu are expert at spotting these precancerous skin lesions and treating them. This prevents them from developing into skin cancer.

What is an actinic keratosis?

Actinic keratoses are the result of long-term sun exposure. Sun exposure isn’t a one and done kind of thing. Over the years, it accumulates and can eventually develop into both squamous cell and basil cell carcinomas.

An actinic keratosis is a rough, scaly patch growing on the skin. You’ll find them on areas that receive the most sun exposure. They can be different dimensions. Their color will range from light to dark, from pink to red. They can be flat or raised.

Who gets them?

More than 58 million Americans are diagnosed with actinic keratoses every year. They are more likely to develop in those with fair complexions, and in those with grey, green, or blue eyes. Darker-colored races, such as African-Americans, Samoans, Asians, and Hispanics, are less likely to develop these lesions.

How do we treat them?

The key with these lesions is to get rid of them before they develop into squamous or basil cell carcinomas. While those two types of skin cancer are not usually life threatening, unlike melanoma, their removal can be disfiguring, especially on the face.

  • Cryotherapy — This is the most common treatment for actinic keratoses. If you’ve ever been to Matsuda, you’ve probably been introduced to the liquid nitrogen bottle. Drs. Matsuda and Sheu spray the lesion with this extremely cold gas. The lesion turns red, swells, may blister, and then peels off.
  • Topical creams and gels — We also use various topical options for actinic keratoses. One cream, 5-flurouracil, is applied to the skin for two to three weeks at home. It causes inflammation on the growth, which then peels off. Picato gel is only used for two to three days, causes a sunburn-type irritation, and makes the lesion peel away. Solareze gel is also effective.
  • Photodynamic therapy — In photodynamic therapy, we apply a topical drug called Levulan to the skin. A blue light then activates the chemical in the drug, which kills abnormal skin cells.
  • Topical immunotherapy — Over the past decade a new approach for these lesions and even in situ skin cancers is to trigger the patient’s immune system to attack the abnormal pre-cancerous or cancerous cells. There are two prescription creams, Aldara and Zyclara, which are applied to the lesions daily. They trigger an immune response where the patient’s white blood cells attack and remove the abnormal cells.

If you have rough, scaly lesions on your skin, come see us at Matsuda. We’ll find them and get them before they become something more serious. Call us, 808-949-7568.