Crossroads between actinic keratosis and squamous cell carcinoma, and novel pharmacological issues

Pascale Quatresooz1, Claudine Piérard-Franchimont, Philippe Paquet

  • 1Department of Dermatopathology, University Hospital Sart Tilman, Liège, Belgium.

Insights

Actinic keratoses (AKs) are distinct skin lesions that can progress to squamous cell carcinomas. Recognizing their differences is crucial for effective treatment and understanding skin cancer development.

Area of Science:

  • Dermatology
  • Oncology
  • Carcinogenesis

Background:

  • Actinic keratoses (AKs) and squamous cell carcinomas (SCCs) represent a continuum in skin carcinogenesis.
  • These lesions typically develop on skin chronically exposed to sunlight.
  • Distinguishing AKs from SCCs is essential conceptually and for therapeutic planning.

Purpose of the Study:

  • To review the biological features underlying AK formation.
  • To highlight clinicopathologically distinctive aspects of AKs and SCCs.
  • To present recent findings on pharmacotherapies for these conditions.

Main Methods:

  • Review of biological features of AKs.
  • Analysis of clinicopathological differences between AKs and SCCs.
  • Survey of recent pharmacotherapy research.

Main Results:

  • Histological differences between AKs and SCCs are well-defined.
  • Pharmacotherapies discussed include anti-EGFR agents, imidazoquinolines, diclofenac-hyaluronan, and photodynamic therapy.

Conclusions:

  • Conceptual and therapeutic distinctions between AKs and SCCs should be maintained.
  • Emerging pharmacotherapies offer new treatment avenues for AKs and potentially SCCs.

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