lip solar keratosis

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48yrs female - spreading solar keratosis on lower lip 13 yrs
treatments so far (in this order)biopsy. liquid nitrogen. cautery curettage. efudix cream. biopsy. photodynamic therapy. biopsy. photodynamic therapy. efudix. aldara.surgeon now says option is to cut off entire lower lip as it has spread aggressively across lower lip. then reconstruct.
the biopsies so far have deformed the lip so i do not really have much faith in the reconstruction should surgery go ahead.the other option is radiation therapy/ radiotherapy.
surgeon said that the disadvantages of radiation therapy are:
scarring/staining skin and possibility of it causing cancer later on for someone my age.
he said that it is normally not done on someone under age of 60.
has anyone had experience of radiotherapy or surgery for skin cancer on face

Anonymous