亚历山大激光治疗色素性角化病的疗效:关键性研究。

IF 2.2 3区 医学 Q2 DERMATOLOGY
Stefano Bighetti, Cristina Zane, Nicola Zerbinati, Mariachiara Arisi, Simone Caravello, Vincenzo Maione, Piergiacomo Calzavara-Pinton, Luca Bettolini
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引用次数: 0

摘要

目的:色素性光化性角化病(PAKs)是光化性角化病的一种色素变异型,由于与良性和恶性病变相似,给诊断带来了挑战。传统疗法疗效不一,而且可能会产生不良副作用。本研究探讨了选择性吸收黑色素的脉冲激光 Alexandrite 激光治疗 PAK 的疗效。通过对治疗前的皮肤镜分析,该研究旨在确定预测模式,以获得更好的治疗效果:一项多中心研究招募了PAK患者,让他们接受标准化的亚历山大激光治疗。治疗前进行了详细的皮肤镜评估。医生总体评估(PGA)和目标病变色素沉着(TLP)量表衡量治疗效果:研究包括 50 名患者,60 个 PAK。治疗后,TLP评分明显降低,尤其是在有色素假性网状结构和灰褐色小点的病变中,这与治疗效果的改善有关。没有不良反应报告,这表明激光治疗的安全性和耐受性:结论:亚历山大激光是治疗PAK色素沉着的一种很有前途的方法,其特定的皮肤镜模式表明治疗效果良好。这项研究加强了皮肤镜专业知识在选择和优化 PAK 治疗中的重要性。未来的研究应侧重于不同激光或联合疗法的比较研究,以制定更全面的PAK治疗框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Efficacy of Alexandrite Laser in the Treatment of Pigmented Actinic Keratoses: A Pivotal Study

Efficacy of Alexandrite Laser in the Treatment of Pigmented Actinic Keratoses: A Pivotal Study

Objectives

Pigmented actinic keratoses (PAKs), a pigmented variant of actinic keratosis, present diagnostic challenges due to their resemblance to both benign and malignant lesions. Conventional therapies have inconsistent outcomes and may cause undesirable side effects. This study investigates the efficacy of the Alexandrite laser, a pulsed laser with selective melanin absorption, for PAK treatment. Through dermoscopic analysis pretreatment, it aims to identify predictive patterns for better treatment outcomes.

Materials and Methods

Patients with PAKs were enrolled in a multicenter study, receiving standardized Alexandrite laser therapy. Detailed dermoscopic evaluations were conducted pretreatment. The Physician's Global Assessment (PGA) and Target Lesion Pigmentation (TLP) scales measured treatment efficacy.

Results

The study included 50 patients with 60 PAKs. Following treatment, there was a statistically significant reduction in TLP scores, particularly in lesions with pigmented pseudo-networks and gray-brownish dots, which were linked to improved outcomes. No adverse effects were reported, suggesting the safety and tolerability of the laser treatment.

Conclusion

The Alexandrite laser emerges as a promising modality for the management of PAK pigmentation, with specific dermoscopic patterns being indicative of a favorable response. This study reinforces the critical importance of dermoscopic expertise in the selection and optimization of treatment for PAKs. Future research should focus on comparative studies with different lasers or combination therapies to develop a more comprehensive treatment framework for PAKs.

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来源期刊
CiteScore
5.40
自引率
12.50%
发文量
119
审稿时长
1 months
期刊介绍: Lasers in Surgery and Medicine publishes the highest quality research and clinical manuscripts in areas relating to the use of lasers in medicine and biology. The journal publishes basic and clinical studies on the therapeutic and diagnostic use of lasers in all the surgical and medical specialties. Contributions regarding clinical trials, new therapeutic techniques or instrumentation, laser biophysics and bioengineering, photobiology and photochemistry, outcomes research, cost-effectiveness, and other aspects of biomedicine are welcome. Using a process of rigorous yet rapid review of submitted manuscripts, findings of high scientific and medical interest are published with a minimum delay.
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