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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Keratosis With Mild Squamous Atypia Mean?

Hello my physician recently advised after a consult I have irritated keratosis with mild squamous atypia what does this mean and she advised cryotherapy. I have been addressing this issue to physicians since 6-7 years ago and finally a new physician was able to tell me what this was. I am a little worried she told me within the next 20 years it could turn into skin cancer. Is this true
Fri, 23 Jan 2015
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Oncologist, Surgical,  's  Response
Keratosis is just thickening of the normal surfaces of the body that can happen as a response to any irritation such as infection. It never turns into cancer. However, mild atypia is a potentially pre-malignant condition which can turn malignant over a long period of time depending on whether the irritant is continuing. However only about about one third of mild atypia will turn malignant. Also, there is a concern that there may be a hidden focus of cancer in the lesion which has been biopsied. So, the best option for you will be to get it surgically removed. That will also tell us whether there was any focus of cancer. Second option is cryo or laser therapy. Third is to keep it under close follow up and remove it if it shows any suspicious changes.
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What Does Keratosis With Mild Squamous Atypia Mean?

Keratosis is just thickening of the normal surfaces of the body that can happen as a response to any irritation such as infection. It never turns into cancer. However, mild atypia is a potentially pre-malignant condition which can turn malignant over a long period of time depending on whether the irritant is continuing. However only about about one third of mild atypia will turn malignant. Also, there is a concern that there may be a hidden focus of cancer in the lesion which has been biopsied. So, the best option for you will be to get it surgically removed. That will also tell us whether there was any focus of cancer. Second option is cryo or laser therapy. Third is to keep it under close follow up and remove it if it shows any suspicious changes.