Evidências científicas sobre o tratamento cirúrgico da queratose actínica / Scientific evidence on the surgical treatment of actinic keratosis
DOI:
https://doi.org/10.34119/bjhrv5n3-139Keywords:
queratose actínica, tratamento, cirurgia.Abstract
As queratoses actínicas são máculas, pápulas ou placas queratósicas ou escamosas resultantes da proliferação intraepidérmica de queratinócitos atípicos em resposta à exposição prolongada à radiação ultravioleta. As queratoses actínicas são uma preocupação porque a maioria dos CECs cutâneos que surgem de queratoses actínicas pré-existentes, e as queratoses actínicas que irão progredir para o CEC não podem ser distinguidas de queratoses actínicas que se resolverão espontaneamente ou persistirão, devido a esses fatores, a maioria dos estudos recomedam tratar rotineiramente as queratoses actínicas. As opções de tratamento para queratose actínica incluem terapias destrutivas direcionadas à lesão (por exemplo, cirurgia, crioterapia, dermoabrasão) e terapias direcionadas ao campo com medicamentos tópicos como fluorouracil, imiquimod e mebutato de ingenol, ou terapia fotodinâmica. As terapias de campo são indicadas para o tratamento de áreas com múltiplas queratoses actínicas, lesões subclínicas que não são detectadas por inspeção visual ou palpação e cancerização de campo.
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