AKs can provide dermatologists, nurse practitioners (NPs) and physician assistants (PAs) with important clues about a patient’s skin cancer risk, according to dermatologist George Martin, M.D.
“Individuals with a high actinic burden obviously are at highest skin cancer risk. These are individuals who just on simple inspection have a lot of actinic keratoses,” says Dr. Martin, who is program director for the Maui Derm meetings and presented at the Maui Derm NP + PA summer 2019 meeting on diagnosing and managing nonmelanoma skin cancer.
High AK burden coupled with a history of multiple skin cancers puts patients in a category that dermatology practices need to follow closely – oftentimes, every three months to stay ahead of the emerging nonmelanoma skin cancer burden. Patients with a lot of AKs who have had basal cell (BCC) or squamous cell carcinoma (SCC) are at greater risk of developing not only more nonmelanoma skin cancers but also are three times more likely to develop melanoma, according to Dr. Martin.
“Within that high-risk group are transplant and chronic lymphocytic leukemia patients, as well as anyone else who is immunosuppressed,” he says.
Dr. Martin is on these scientific advisory boards: DUSA/SUN, Abbvie, Ortho/Bausch Health, Galderma, Pfizer, LEO, Celgene, Janssen, Pfizer and Horizon. He is a consultant for: Athenex, DUSA/SUN, Ortho/Bausch, Pfizer, Almirall, Celgene and Lilly. And he is a speaker for: Ortho/Bausch Health, Celgene and DUSA/SUN.
1. Kim JYS, Kozlow JH, Mittal B, et al. Guidelines of care for the management of basal cell carcinoma. J Am Acad Dermatol. 2018;78(3):540-559.
2. Kim JYS, Kozlow JH, Mittal B, et al. Guidelines of care for the management of cutaneous squamous cell carcinoma. J Am Acad Dermatol. 2018;78(3):560-578.