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[光化性角化病的诊断与治疗]

[Diagnosis and treatment of actinic keratosis].

作者信息

Isoherranen Kirsi, Koskenmies Sari, Overmark Meri, Ylitalo Leea, Saksela Olli, Pitkänen Sari

出版信息

Duodecim. 2015;131(9):863-70.

Abstract

Actinic keratoses are premalignant skin lesions with the risk of converting into squamous cell carcinoma, and therefore they should be treated. Treatment modalities include cryotherapy, photodynamic therapy, carbon dioxide laser and also topical treatments such as imiquimode, ingenol mebutate, 5-fluorouracil and diclophenac. In the future, the treatment of actinic keratosis can be more often done in primary health care. The most favorable treatment modality depends on patient age, general health, and the thickness, size and localization of the lesion.

摘要

光化性角化病是具有转化为鳞状细胞癌风险的癌前皮肤病变,因此应予治疗。治疗方式包括冷冻疗法、光动力疗法、二氧化碳激光以及局部治疗,如咪喹莫特、鬼臼毒素、5-氟尿嘧啶和双氯芬酸。未来,光化性角化病的治疗将更常于初级卫生保健机构进行。最适宜的治疗方式取决于患者年龄、总体健康状况以及病变的厚度、大小和部位。

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