Question

Sam Goliath, a 42-year-old male new patient, presents today for a routine physical examination. At the end of the examination the patient noted he had a good-sized growth on his back that has been present for several months. A problem-focused history and examination reveals a 1-cm-diameter wart-type growth that is an actinic keratosis. A diagnostic shave biopsy of the growth was performed.

List the appropriate procedure(s) for this case.

Answer 1

Actinic keratoses:
It is a solar keratosis, rough, scaly patch on the skin due to prolonged exposure to the sun. It can be found in the face, lips, back, forearm, neck, and ear. These patches take some years to develop mostly over the age of 40 years.
Treatment:
Procedures:
-Freezing or cryotherapy:
Actinic keratoses can be removed with liquid nitrogen. This substance can be applied to the area and removed by peeling or blistering. It is a common therapy, it takes only a few minutes.
-Scraping(curettage):
surgeon damage the cells by scrape followed by electrosurgery. To cut the lesion doctor will use a pencil-shaped instrument and destroy the tissue by the current.
- Photodynamic therapy:
The doctor will apply the light-sensitive chemical solution to the affected area and it will expose to special light it can destroy the actinic keratoses.