About Moles, Melanomas, and Lasers

Dummer, Reinhard

doi:10.1001/archderm.139.11.1405

Cited by 22 publications

(7 citation statements)

References 13 publications

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“…In recent years, several errors (or complications) related to laser treatment of melanocytic lesions have been reported [1,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21]. Although lentigines and café au lait spots are frequently managed with IPL [4], there are few cases of melanocytic nevi treated with this technique in the literature, mainly because the use of laser therapy and IPL in the treatment of pigmented melanocytic lesions is a controversial issue.…”

Section: Discussionmentioning

confidence: 99%

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Complete Regression of a Melanocytic Nevus under Intense Pulsed Light Therapy for Axillary Hair Removal in a Cosmetic Center

Martín¹,

Monteagudo²,

Bella³

et al. 2012

Dermatology

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Intense pulsed light (IPL) therapy using noncoherent broad-spectrum light has been reported to be effective for hair removal, and also for treating superficial pigmented lesions like ephelides and solar lentigines. We report complete regression of a pigmented melanocytic nevus, histologically confirmed, after hair removal treatment with IPL. The use of lasers and IPL is a common procedure used by dermatologists and even other professions for the treatment of cosmetically troubling skin conditions. The main advantage of such treatment is a reduction of surgical scars, thus producing a favorable cosmetic outcome, but a major limitation is that histopathologic diagnosis is not usually obtained prior to treatment. Such devices should be carefully used in patients with potentially dangerous melanocytic lesions. We also review the recent literature regarding inadequate treatment of melanocytic lesions with lasers.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, several cases wherein melanoma was diagnosed after laser treatment of presumed benign nevi have been recently described [11,12,13,14,15,16,17,18,19,20,21]. It is still unclear whether the lesions were primary malignant melanomas treated with laser or if a malignant melanoma was induced by the laser treatment.…”

Section: Discussionmentioning

confidence: 99%

Complete Regression of a Melanocytic Nevus under Intense Pulsed Light Therapy for Axillary Hair Removal in a Cosmetic Center

Martín¹,

Monteagudo²,

Bella³

et al. 2012

Dermatology

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“…Treatment of congenital nevi is controversial because of the potential for malignant transformation. Laser treatment may mask or delay a correct diagnosis of melanoma or other malignant pigmented lesions 33 . Any suspicious, atypical‐looking lesion should be biopsied before beginning treatment.…”

Section: Discussionmentioning

confidence: 99%

Laser treatment for pigmented lesions: a review

Jones

Nouri

2006

J of Cosmetic Dermatology

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“…The vast majority of pigmented lesions are treated using a laser without negative sequelae, although there are reports of melanoma diagnosis after ablative and pigment‐targeting lasers 5,6 . There is also speculation of the influence of lasers on melanoma progression and its role in delayed diagnosis and poor outcome 7,8 .…”

Section: Commentmentioning

confidence: 99%

Desmoplastic Melanoma Presenting After Laser Treatment

Lee¹,

Busam²

2011

Dermatologic Surgery

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The authors have indicated no significant interest with commercial supporters. D esmoplastic melanoma (DM) is a rare fibrosing variant of cutaneous melanoma with a predilection for sun-damaged skin. The clinical and histopathologic diagnosis is often challenging because of the atypical clinical and histopathologic presentation. A high index of suspicion, adequate biopsy, and expert review of the pathology are critical to ensure accurate diagnosis and management.Laser treatment of pigmented lesions of the face is a commonly performed procedure. Because of the predilection of DM and other variants of melanoma for photodamaged skin, laser treatment of pigmented lesions should be performed prudently. We report a case emphasizing the diagnostic challenge of DM, the pitfalls associated with laser treatment, and the value of histopathologic review. Case ReportA 73-year-old woman with Fitzpatrick skin type II presented for management of a squamous cell carcinoma in situ (SCCIS) of the right cheek. She reported a brown sun spot was treated twice using a neodymium-doped yttrium aluminum garnet laser (type not known) in 2007 with near resolution of the brown pigment. One to two years later, the patient noted firmness in the area, and this was assumed to be a cyst. The lesion continued to increase in size and developed a pinkish hue. In 2010, she presented to a local dermatologist and was referred to a plastic surgeon for biopsy. Outside pathology showed a poorly oriented strip of skin with changes consistent with an actinic keratosis. Given the superficial nature of the biopsy, a second biopsy was recommended. A different dermatologist performed the second biopsy and submitted the tissue to exclude ''morphea BCC or morpheaform basal cell carcinoma.'' A board-certified dermatopathologist reported that biopsy as SCCIS. The patient, selfreferred, presented to our office for further management.On examination, there was an ill-defined 2-to 3-cm pink to erythematous plaque; the induration extended beyond the area of erythema (Figure 1). At the most superior end was brown irregular pigmentation, adjacent scarring from the previous biopsies, and erythema. The dermoscopic images were nonspecific, with irregular blood vessels and scar-like areas from the previous procedures.A dermatopathologist (KJB) internally reviewed the outside biopsies. The initial biopsy showed tangentially sectioned sun-damaged skin with focal basal layer hyperpigmentation. There was no evidence of actinic keratosis in the sections examined. The second biopsy (said to show SCCIS according to the outside report) was read at our institution as DM, 5.3 mm thick, Clark level V, nonulcerated, tumor

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About Moles, Melanomas, and Lasers

Cited by 22 publications

References 13 publications

Complete Regression of a Melanocytic Nevus under Intense Pulsed Light Therapy for Axillary Hair Removal in a Cosmetic Center

Complete Regression of a Melanocytic Nevus under Intense Pulsed Light Therapy for Axillary Hair Removal in a Cosmetic Center

Laser treatment for pigmented lesions: a review

Desmoplastic Melanoma Presenting After Laser Treatment

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