The treatment for keratoacanthoma which is a benign form of keratosis can be described as primarily surgical. Medical intervention may be highly recommended for people with multiple lesions of keratoacanthoma. For people whose medical insurance does not cover surgical procedures, 5 fluorouracil, Intralesional metotexrate, and steroids are offered, these drugs are also offered after examining the size and location of the growing lesions and has been found that the size and lesions will not allow surgical removal. Systemic retinoids are offered such patients based on the fact that the lesions of keratosis are too numerous for surgical operations.
Surgical excision of keratosis tumour is the basic removal method for Keratoacanthoma. Tumours within the size range 3mm-5mm are removed by excision, In cases where the surgical experts wants to differentiate between invasive squamous cell carcinoma and Keratoacanthoma, he or she will perform a partial shaving on the growing lesions. Deep excisional shaving or curettage can also be performed on some other patients alongside some destructive techniques.
In cases where the lesions are large and are recurrent in nature, moh’s micrographic surgery can be performed on such individuals. Such surgical procedures are performed on anatomic area with some surgical considerations. Patients with poor medical status or those with tumour growths that are inoperable can be treated with bleomycin, 5-fluourouracil, Intra-lesional MTX are some of the topical medications offered such people. Antimetabolites can be offered patients whose keratoacanthoma disorder come with some underlying genetic abnormalities. The antimetabolites inhibits DNA synthesis as well as cell reproduction in malignant cells, and such medications may slightly suppress the immune system.
It is believed that Keratoacanthomas are radiosensitive in nature and they respond excellently well to radiotherapy, for this reason, individual patients suffering from large tumours of keratoacanthoma can be effectively treated with radiotherapy. Many younger patients may not find the radiation therapy very appealing because radiation therapy effects on the skin worsens with time. Radiation therapy is particularly ideal for people who understands the risk factors involve as well as the benefits of using such. It is also ideal for individuals who are not potential candidates for surgical therapies.
For small keratoacanthoma keratosis, cryotherapy as well as laser therapy can be very effective. They are also used in treating tumours which grow in some difficult locations of the body. It is ideal to consult a dermatologist who can detect if your problem is squamous cell carcinoma or keratoacanthomas and treat accordingly.