Lentigo Maligna—Outcomes of Treatment with Q-Switched Nd:YAG and Alexandrite Lasers

Madan, Vishal; August, P.J.

doi:10.1111/j.1524-4725.2009.01099.x

Cited by 34 publications

(24 citation statements)

References 13 publications

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“…Destructive techniques including cryotherapy, photodynamic therapy, ablative laser including carbon dioxide and Er:YAG lasers, electrodessication and curettage, and pigmenttargeting lasers such as Q-switched Nd:YAG and Alexandrite laser have been used, but with variable efficacy and insufficient evidence to draw meaningful conclusions [64][65][66][67][68]. Recurrence rates have ranged from 0-40% with cryosurgery, from 0-37.8% with various lasers, and 25-100% with electrodessication and curettage [40].…”

Section: • • Medical Managementmentioning

confidence: 99%

Lentigo Maligna and Lentigo Maligna Melanoma: Contemporary Issues in Diagnosis and Management

2015

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Lentigo maligna and lentigo maligna melanomas present diagnostic and treatment dilemmas due to their frequent presence within a background of sun-damaged skin, and their location on cosmetically and functionally sensitive areas. As the incidence of this entity is increasing, diagnostic and management controversies have developed. While surgery remains the gold standard of treatment, nonsurgical treatment options are also emerging for both adjunctive and primary therapy.

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Section: • • Medical Managementmentioning

confidence: 99%

Lentigo Maligna and Lentigo Maligna Melanoma: Contemporary Issues in Diagnosis and Management

2015

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“…After the discovery of the theory of selective photothermolysis, reports of QS lasers as treatment for LM began to surface. Since then, several case reports have documented both failures and successes with this therapy 22–26. Most recently, Madan et al published a series of 22 patients treated with QS Nd:YAG and Alexandrite lasers for LM 22.…”

Section: Discussionmentioning

confidence: 99%

Lentigines, laser, and melanoma: A case series and discussion

2012

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Solar lentigines are considered one of the earliest signs of photoaging and are an extremely common cosmetic complaint. Successful removal of these lesions can be achieved with laser and non-laser light sources, and is one of the most frequently performed cosmetic procedures in laser centers. Distinguishing a benign lentigo from other pigmented lesions can sometimes be challenging, even for a trained dermatologist. We report a series of three patients who presented to our laser center within 2 months of one another for cosmetic removal of pigmented lesions that were found to be melanoma. One patient was referred by another dermatologist, one by a physician family member, and the other presented on his own. These cases highlight the need for careful evaluation of pigmented lesions prior to laser treatment, regardless of the source of the referral. In this article, we will review the diagnostic and treatment differences between lentigines and their malignant counterparts, and examine the role of laser in both.

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“…Recurrence rates were 23% after a follow-up of \3 months. 103 When evaluated as a class of treatment, recurrence rates of MIS treated with laser were as high as 38%, with some progressing to LM melanoma. [103][104][105][106][107][108][109][110][111] A major challenge with laser therapy is the absence of histopathology to evaluate the presence of invasive components and confirmation of complete extirpation of the tumor.…”

Section: Staged Excision Key Pointsmentioning

confidence: 99%