Eccrine syringofibroadenoma treated with a dual pulse width flashlamp pumped pulsed dye laser.

BACKGROUND: Eccrine syringofibroadenoma is a rare benign eccrine ductal proliferation with a predilection for the extremities, most often found in middle-aged and elderly patients. Reported treatments have included excision and conventional destructive modalities; however, recurrences may be common. OBJECTIVE: We describe a patient with a chronic ulcerated verrucoid eccrine syringofibroadenoma that persisted despite cryotherapy or curettage and electrodessication. RESULTS: Treatment with a dual pulse width flashlamp pumped pulsed dye laser (FPDL) produced an excellent clinical response. CONCLUSION: Treatment of eccrine syringofibroadenoma with a FPDL may provide both a vascular specific injury, analogous to the treatment of verruca vulgaris, and nonspecific thermal destruction at high fluences.

Recalcitrant breast lymphangioma circumscriptum treated by UltraPulse carbon dioxide laser.

BACKGROUND: Lymphangioma circumscriptum is a relatively rare cutaneous disorder, consisting of superficial and deep lymphatic cisterns. These vascular blebs are difficult to treat, frequently recur, and can cause patients significant morbidity. OBJECTIVE: We report a difficult case of lymphangioma circumscriptum, recurrent from a two prior surgical treatments, which was treated in a straightforward manner by one of the newer, high-energy, short-pulse carbon dioxide (CO2) lasers. METHODS: Report of a case and literature review. CONCLUSION: Like continuous-wave CO2 laser systems, the newer, high-energy, short-pulse CO2 laser may be effective in vaporizing some of the surface lymphatic vessels, which may in turn seal some of the communicating channels to the deeper cisterns, yielding functionally and cosmetically acceptable results for this difficult disorder. However, given the nature of the lesion, the potential for recurrence exists no matter what modality is chosen.