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September 3, 2026Cleveland Clinic Journal of MedicineOpen Access

Actinic keratosis: A clinician’s guide to diagnosis and treatment

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Authors

TBTaylor A. BullockMCMichael ChristopherEMEdward V. Maytin

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Overview

Clinical review demonstrates individualized management strategies for actinic keratosis based on lesion burden, indicating effective approaches to prevent progression to squamous cell carcinoma.

Key Points

  • To outline an individualized clinical framework for diagnosing and treating actinic keratoses based on patient- and lesion-specific factors.
  • Synthesized clinical management approaches centered on lesion burden (number of lesions), field cancerization (surface area affected), and patient preferences.
  • Chronic ultraviolet radiation induces premalignant actinic keratoses that harbor substantial risk of progression to invasive squamous cell carcinoma if untreated.
  • Early clinical recognition paired with tailored therapeutic interventions targeted to lesion count and field involvement effectively mitigates invasive cancer risk.

Cite This Study

Bullock et al. (2026) studied this question.

synapsesocial.com/papers/6a9935b1636c6408cfa7e2d8https://doi.org/10.3949/ccjm.93a.26005
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