Intense Pulsed Light Alone and in Combination with Erbium Yttrium-Aluminum-Garnet Laser on Small-to-Medium Sized Congenital Melanocytic Nevi: Single Center Experience Based on Retrospective Chart Review
Annals of Dermatology
; : 39-47, 2017.
Article
em En
| WPRIM
| ID: wpr-132720
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Treatment of congenital melanocytic nevi (CMN) with intense pulsed light (IPL) has recently produced promising results. OBJECTIVE: To evaluate the clinical and histological outcomes of small-to-medium sized CMN treated with IPL alone and in combination with erbium: yttrium-aluminum-garnet (Er: YAG) laser. METHODS: We performed a retrospective chart review of 26 small-to-medium sized CMN treated as described above. The reduction in visible pigmentation, signs of recurrence and any adverse skin changes were evaluated by two independent clinicians. RESULTS: Seventeen patients completed treatment and were followed-up. Nine were not able to complete treatment due to work, change in residence, and treatment related stress. Ten patients received IPL alone (mean: 10.5 sessions) and 7 underwent treatment with IPL (mean: 7.7 sessions) and Er: YAG/IPL combination therapy (mean: 4.7 sessions). The initial treatment outcome was cleared in 5 patients and excellent in 12. Fourteen patients (82.4%) showed CMN recurrence one year after treatment completion. The histological results from a patient with an excellent clinical outcome showed remnant nevus cells nests in the deep dermis. CONCLUSION: IPL treatment alone and in combination with Er: YAG laser are not definitive treatments for CMN and should not be considered as first-line treatment.
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Índice:
WPRIM
Assunto principal:
Recidiva
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Pele
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Pigmentação
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Estudos Retrospectivos
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Resultado do Tratamento
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Derme
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Érbio
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Lasers de Estado Sólido
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Terapia de Luz Pulsada Intensa
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Nevo
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
Annals of Dermatology
Ano de publicação:
2017
Tipo de documento:
Article