Author/Editor     Kavoussi, Hossein; Ebrahimi, Ali; Rezaei, Mansour
Title     Treatment and cosmetic outcome of superpulsed CO2, laser for basal cell carcinoma
Type     članek
Vol. and No.     Letnik 22, št. 3
Publication year     2013
Volume     str. 57-61
ISSN     1318-4458 - Acta dermatovenerologica Alpina, Panonica, et Adriatica
Language     eng
Abstract     Introduction: There are many different treatments for basal cell carcinoma, but the most common is surgical excision. CO2 lasercould be an alternative treatment for many situations in which other treatments are not possible or available. Methods: This follow-up study was performed on 74 (40 female and 34 male) patients with a total of 113 basal cell carcinoma lesionsthat were pathologically documented. First, the tumor mass was debulked by curettage and later 2 to 5 mm of marginal skinand the debulked area were subjected to 2 to 4 passes of pulsed CO2 laser. Results: Out of 113 lesions, the nodular type accounted for 67 (59.3%) lesions, and 40 (35.4%) lesions were seen in the nasal areaas the most common clinical subtype and site of involvement. One hundred six lesions (93.7%) of basal cell carcinoma showed acure after one session. Good to excellent cosmetic outcomes were seen in 97 (85.8%) cases. Conclusion: This method appears to be an appropriate alternative treatment for basal cell carcinoma lesions that are smaller than 2cm, superficial, and pigmented, and have a nodular clinical subtype without an aggressive pathologic pattern. This method shouldbe used with caution in the nasal area with lesions larger than 2 cm.
Keywords     dermatologija
bazalnocelični karcinom
karcinom
zdravljenje