1992
DOI: 10.1001/archsurg.1992.01420120070013
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Photodynamic Therapy in the Management of Neoplasms of the Perianal Skin

Abstract: Perianal extramammary Paget's disease, Bowen's disease, and squamous cell carcinoma are three entities that are very rarely reported. Overall, it is generally accepted that wide surgical excision is adequate treatment except under certain circumstances. Consideration has to be given to invasiveness, metastatic potential, multicentricity, and tendency to recur. We describe four patients who, following unsuccessful multiple attempts at achieving microscopically clear margins with surgical excision, were treated … Show more

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Cited by 44 publications
(18 citation statements)
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“…Other treatments include cryosurgery, curettage and electro cautery, excisional surgery, glans resurfacing, micrographic surgery, laser, and topical or syst emic phot odynamic therapy [2, 177,271,[283][284][285][286][287][288][289][290][291][292]. Topical immunomodulators and antivirals such as imiquimod and cidofovir show promise [293][294][295][296][297][298][299][300].…”
Section: Managementmentioning
confidence: 99%
“…Other treatments include cryosurgery, curettage and electro cautery, excisional surgery, glans resurfacing, micrographic surgery, laser, and topical or syst emic phot odynamic therapy [2, 177,271,[283][284][285][286][287][288][289][290][291][292]. Topical immunomodulators and antivirals such as imiquimod and cidofovir show promise [293][294][295][296][297][298][299][300].…”
Section: Managementmentioning
confidence: 99%
“…A pair of publications reported the potential sphincter sparing and excellent cosmetic outcome possible for a small group of five patients who failed local excision of in situ squamous cell or Paget's disease of the peri-anal region [13,14]. All patients failed wide local excision and more radical surgery was planned, which may have required colostomy.…”
Section: Discussionmentioning
confidence: 99%
“…Photodynamic therapy has also been suggested; however, studies are limited. 28,29 Targeted destruction and follow-up is a more aggressive approach to identifiable lesions. Wide local excision (WLE) has been employed for discrete lesions, with the extent of resection based on preoperative mapping as first described by Strauss and Fazio 30 in 1979, although this in not routinely necessary.…”
Section: Anal Intraepithelial Neoplasia or Squamous Intraepithelial Lmentioning
confidence: 99%