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…