Actinic keratosis


What you need to know about actinic keratosis

  • Actinic keratoses (plural) may present in different ways. They often look like a crusty, scaly or dry area of skin. Also called solar keratosis, these precancerous growths commonly show up on parts of the body that get a lot of sun (like the face and neck).
  • Actinic keratosis doesn’t mean you have cancer. But some of these patches can eventually turn into squamous cell skin cancer if left untreated. Because of this possibility, having actinic keratosis increases your chances for developing skin cancer at some point in your life.
  • Our dermatologists are trained and experienced in recognizing the minute differences between actinic keratosis and other skin conditions. We use research-based treatments to help protect your health now and for years to come.
  • Certain factors, like fair (light) skin and indoor tanning, increase your chances of developing skin cancer. Regular skin cancer screenings can detect actinic keratoses or other skin issues before they become a serious problem.
  • Our team makes it easy to prioritize your health. We provide a wide spectrum of dermatology services at Mays Cancer Center. We’ll recommend a personalized plan based on your risk and needs.
Actinic Keratosis

How to talk to your doctor about actinic keratosis

Our dermatologists and support team are here to help you safeguard the health of your skin. We take the time to evaluate you thoroughly and explain your treatment options in detail. We encourage you to involve family members or other loved ones in your care decisions, should that be helpful to you.

You might want to ask your doctor about:

  • Additional testing, if any, you may need to inform your diagnosis or treatment plan
  • Condition details, including what your diagnosis means for your risk of developing skin cancer sometime in the future
  • Treatment options, including what steps you should take after treatment to protect your skin
  • Skin cancer prevention, including skin safety tips and how often your doctor recommends skin cancer screening to help protect your long-term health

Preventative measures include using broad-spectrum sunscreens, wearing protective clothing, seeking shade, and avoiding tanning beds. Regular skin examinations by a healthcare professional can help detect and treat AK early, reducing the risk of progression to skin cancer, particularly squamous cell carcinoma.

Actinic keratosis can affect any part of the body. Growths most often develop on areas (like the face, head and hands) that get a lot of sun exposure over many years.

Actinic keratosis symptoms commonly include a patch of skin that:

  • Looks scaly or crusty
  • Feels dry, rough or raised (like a bump)
  • Has a different color compared to the rest of your skin
  • Hurts or bleeds

Doctors usually diagnose actinic keratosis by looking at the area in question during a thorough skin evaluation. In some cases, our specialists remove a tiny sample of tissue (called a biopsy) to analyze cells under a microscope.

You can take steps to help prevent skin cancer by carefully checking your skin (head to toe) for unusual changes. Doctors recommend you do a monthly skin check. You should also follow safe sun habits, like wearing sun protective clothing such as hats or shirts (identified on tags by the SPF 50+ label) or applying sunscreen 20 minutes before going outside.