Laser treatment of epidermal nevi: A multicenter retrospective study with long-term follow-up.
J Am Acad Dermatol
; 83(6): 1606-1615, 2020 Dec.
Article
en En
| MEDLINE
| ID: mdl-31202870
ABSTRACT
BACKGROUND:
Patients with epidermal nevi strongly demand cosmetic improvement. Laser treatment appears appealing and is frequently used in clinical practice. Nevertheless, large series with long-term follow-up are missing, preventing definitive conclusions about its real benefit.OBJECTIVE:
To evaluate the long-term effectiveness and safety of lasers for epidermal nevi.METHODS:
Bicentric, retrospective, cohort study, including all patients treated with a laser for an epidermal nevus with more than a 1-year follow-up.RESULTS:
Seventy patients were treated for different types of epidermal nevi, mostly with ablative lasers 23 verrucous epidermal nevi, 16 nevi sebaceous, 26 Becker nevi, 2 inflammatory linear verrucous epidermal nevi, 1 smooth-muscle hamartoma, 1 rounded and velvety epidermal nevus, and 1 nevus lipomatosus superficialis. The follow-up period was a median of 37 months (range, 12-127 months). Better results, fewer recurrences, and higher patient satisfaction were noted in treatments for verrucous epidermal nevi than for nevi sebaceous. Q-switched lasers failed to show any degree of improvement in almost all patients with Becker nevus.LIMITATIONS:
The retrospective nature of the study.CONCLUSIONS:
Ablative lasers can treat verrucous epidermal nevi with good long-term esthetic results but have limited long-term efficacy for nevus sebaceous. Q-switched lasers failed to improve Becker nevi.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Terapia por Láser
/
Recurrencia Local de Neoplasia
/
Nevo
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Am Acad Dermatol
Año:
2020
Tipo del documento:
Article