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Skin Conditions

SPHMMC DEPARTMENT OF SURGERY

08/17/2020
Pre-Malignant Skin Conditions
• ACTINIC KERATOSIS (SOLAR KERATOSIS)
• Ill-defined, scaly erythematous papules or plaques on a background of sun-damaged
skin
• sandpaper-like, gritty sensation felt on palpation, often easier to appreciate on
palpation rather than inspection
• Sites: areas of sun exposure (face, ears, scalp if bald, neck, sun-exposed limbs)
• UV-induced p53 gene mutation
• risk factors: increased age, light skin/eyes/hair, immunosuppression, syndromes such
as albinism or xeroderma pigmenotsum, M>F
• risk of transformation of AK to SCC (~1/1,000), but higher likelihood if AK is persistent
• risk factors for malignancy: immunosuppression, history of skin cancer, persistence of the AK

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malignant characteristics of a mole: “ABCDE” mnemonic
sites: skin, mucous membranes, eyes, CNS

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