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Malignant potential of actinic keratoses and the controversy over treatment. A patient-oriented perspective
Abstract
Dermatologists routinely treat actinic keratoses (AKs) based on the belief that these lesions are premalignant and that treatment reduces morbidity. Marks et al1make a convincing case for conservative management by suggesting that malignant transformation of AKs is rare and that metastasis from such transformation is uncommon. They present their data as the relationship between AKs detected during an initial visit and squamous cell carcinoma (SCC) on examination 1 year later. Using this lesion-oriented approach, Marks and colleagues1,2have shown that the average malignant transformation rate for an actinic keratosis is only a fraction of a percent per year. Previous clinical estimates of malignant potential ranged as high as 25% and were based on patients with several AKs followed up for many years.3,4Historical estimates were thus more patient oriented. We will present a mathematical model resulting in patient-oriented statistics that can be more easily compared with
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Cited by
Barton, J. K., Gossage, K. W., Xu, W., Ranger-Moore, J. R., Saboda, K., Brooks, C. A., Duckett, L. D., Salasche, S. J., Warneke, J. A., & Alberts, D. S. (2003) · Technology in Cancer Research & Treatment · doi:10.1177/153303460300200605 · Cited by 85
The actinic keratosis: A perspective and update
SCHWARTZ, R. A. (1997) · Dermatologic Surgery · doi:10.1111/j.1524-4725.1997.tb00438.x · Cited by 80
Ricotti, C., Bouzari, N., Agadi, A., & Cockerell, C. J. (2009) · Medical Clinics of North America · doi:10.1016/j.mcna.2009.08.011 · Cited by 63
Metadata
- Authors
- Dodson, J. M.
- Venue
- Archives of Dermatology
- Publisher
- American Medical Association
- Published
- 1991-07-01
- Volume
- 127
- Issue
- 7
- Pages
- 1029-1031
- ISSN
- 0003-987X (ISSN-L)
- OpenAlex
- W4232205936
- Cited by
- 268
- References
- 0
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Malignant potential of actinic keratoses and the controversy over treatment. A patient-oriented perspective. https://app.cochat.ai/papers/10.1001/archderm.127.7.1029
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- Dodson, J. M. (1991). Malignant potential of actinic keratoses and the controversy over treatment. A patient-oriented perspective. Archives of Dermatology. https://doi.org/10.1001/archderm.127.7.1029
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
