Pre-malignant lesion (actinic keratosis) identified above were destroyed using liquid nitrogen with three freeze-thaw cycles. # lesions were destroyed in this manner. Explained to patient that other options included excisional biopsy or observation, or 5-fluorouracil treatment. %MR %LNAME opted for destruction with liquid nitrogen. Risks of scarring, incomplete destruction were explained to patient. %HE understands the risks and benefits. Repeat treatments may be required if there is incomplete resolution.
