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Updated: Jul 9, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
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.
Abstract:
Actinic keratoses (AKs) and their derived squamous cell carcinomas are distinctive lesions forming a continuum in a multi-step carcinogenesis process. They are typically found on chronically sun exposed skin. AKs merit to be recognized as such and to be distinguished from squamous cell carcinomas both conceptually and for therapeutic implications. The histological differences between these lesions are well defined and should not be blurred. A brief review is presented about the biological features responsible for AKs and the clinicopathologically distinctive aspects of these lesions. In addition, recent findings are presented about pharmacotherapy using anti-epidermal growth factor receptors, imidazoquinolines, diclofenac-hyaluronan, and methyl aminolevulinate photodynamic therapy.
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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