Neoadjuvant Sonidegib for the Management of Locally Advanced Basal Cell Carcinoma: A Case Report.

IF 1.5 4区 医学 Q3 DERMATOLOGY
Carmen Hollield, Shivkar Amara, Jesse M Lewin, Mark G Lebwohl
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引用次数: 0

Abstract

Neoadjuvant Hedgehog Pathway Inhibitor (HPI) therapy, utilizing sonidegib and vismodegib, has shown great potential in managing locally advanced basal cell carcinoma (laBCC). While effective, the tolerability of HPI therapy may be limited due to adverse effects (muscle spasms, alopecia). However, studies have shown a lower incidence of side effects with sonidegib, compared to vismodegib. In this report, we present the case of an 86-year-old male with laBCC on the left inner canthus treated successfully with neoadjuvant sonidegib for 25 weeks prior to Mohs micrographic surgery. This case highlights the utility of sonidegib as a potential neoadjuvant treatment modality for patients who are good candidates for surgery but would benefit from tumor reduction to achieve a more favorable outcome, especially in cosmetically sensitive areas. In addition, our patient experienced minimal side effects (muscle cramps at week 18) from sonidegib treatment. J Drugs Dermatol. 2025;24(3):329-331. doi:10.36849/JDD.8329.

新辅助索地吉治疗局部晚期基底细胞癌1例报告。
使用sonidegib和vismodegib的新辅助刺猬通路抑制剂(HPI)治疗在治疗局部晚期基底细胞癌(laBCC)方面显示出巨大的潜力。虽然有效,但HPI治疗的耐受性可能由于副作用(肌肉痉挛,脱发)而受到限制。然而,研究表明,与vismodegib相比,sonidegib的副作用发生率较低。在本报告中,我们报告了一例86岁男性左内眦laBCC患者,在Mohs显微摄影手术前用新辅助sonidegib成功治疗了25周。本病例强调了sonidegib作为一种潜在的新辅助治疗方式的效用,这些患者是手术的良好候选人,但可以从肿瘤缩小中获益,以获得更有利的结果,特别是在美容敏感区域。此外,我们的患者从sonidegib治疗中经历了最小的副作用(第18周肌肉痉挛)。皮肤医学杂志,2025;24(3):329-331。doi: 10.36849 / JDD.8329。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
289
审稿时长
3-6 weeks
期刊介绍: The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology. We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality. Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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