20 TreatmentHistological typeTumor sizeLocationRisk of recurrence
21 Treatment Methods Curettage and electrodessication – small lesion Simple surgical excision – large lesionMohs' micrographic surgery – large tumor, high recurrent site like nose, poorly-defined margingRadiation – elderly, difficult area like eyelidImiquimod – superficial BCC
23 Risk factors? Sun exposure - UVB Immunosuppresion – 65x in transplant patientsLight skin
24 Actinic keratosis AK is confined to epidermis Extension beyond the epidermis = squamous cell carcinomaMay resolve spontaneously when sun exposure is removedRisk of developing SCC 0.085% per lesion per year60% SCC came from AK
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