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    Best practices for treating severe sun damage


    Derms know best

    Dermatologists understand cutaneous oncology better than any other physician, according to Dr. Jambusaria. 

    “We have the unique ability to look at a lesion, and … tell with reasonable accuracy if there is partial epidermal dysplasia (actinic keratosis), full thickness epidermal dysplasia (SCCis), or invasion into the dermis (invasive SCC). For this reason, we are able to correctly choose the appropriate therapies for patients and know when a biopsy is warranted or when empiric therapy can be done,” she says. “These patients can be time consuming, but with aggressive therapy, frequent visits and close monitoring, one can significantly decrease field cancerization, ultimately leading to development of fewer skin cancers and decreased morbidity for the patient.”

    Disclosure: Dr. Jabmbusaria reports no relevant disclosures.


    1 Jambusaria-pahlajani A, Ortman S, Schmults CD, Liang C. Sequential Curettage, 5-Fluorouracil, and Photodynamic Therapy for Field Cancerization of the Scalp and Face in Solid Organ Transplant Recipients. Dermatol Surg. 2016;42 Suppl 1:S66-72.

    2 Willey A, Mehta S, Lee PK. Reduction in the incidence of squamous cell carcinoma in solid organ transplant recipients treated with cyclic photodynamic
    therapy. Dermatol Surg. 2010 May;36(5):652-8. doi: 10.1111/j.1524-4725.2009.01384.x. Epub 2009 Nov 4

    3 Bavinck JN, Tieben LM, Van der Woude FJ, Tegzess AM, Hermans J, ter Schegget J, Vermeer BJ. Prevention of skin cancer and reduction of keratotic skin lesions
    during acitretin therapy in renal transplant recipients: a double-blind, placebo-controlled study. J Clin Oncol. 1995 Aug;13(8):1933-8.


    Lisette Hilton
    Lisette Hilton is president of Words Come Alive, based in Boca Raton, Florida.


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