Identification and Management of Malignant Skin Lesions Among Older Adults

The incidence of malignant skin lesions is increasing among older adults. The elderly generally present with different symptoms than younger adults, and lesions tend to have a poorer prognosis. Benign skin lesions, such as senile lentigo and seborrheic keratosis, may confound the identification of malignancy. This article reviews the risk factors and age-related changes that affect the development of skin lesions. After differentiating actinic keratosis, basal cell and squamous cell carcinoma, and malignant melanoma, it discusses nonsurgical, topical, and surgical management options as appropriate for older adults with comorbidities.