激光治疗卡波西肉瘤的方法:皮肤科选择的综合综述。

IF 2.3 4区 医学 Q2 DERMATOLOGY
Chiara Battilotti, Fortunato Cassalia, Francesca Svara, Alessandra Latini, Norma Cameli, Steven Paul Nisticò
{"title":"激光治疗卡波西肉瘤的方法:皮肤科选择的综合综述。","authors":"Chiara Battilotti, Fortunato Cassalia, Francesca Svara, Alessandra Latini, Norma Cameli, Steven Paul Nisticò","doi":"10.5826/dpc.1503a5332","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Kaposi's sarcoma (KS) is a multicentric angioproliferative disease associated with human herpesvirus 8 and often exacerbated by immunosuppression. Effective treatment includes systemic and local therapies, with laser treatments gaining prominence in dermatological practice.</p><p><strong>Objectives: </strong>This narrative review evaluated the efficacy and safety of laser treatment modalities in the management of cutaneous and mucosal KS lesions to guide dermatological decision-making.</p><p><strong>Methods: </strong>A comprehensive English-language literature search was conducted using PubMed and Scopus up to November 2024. Search terms included \"Kaposi's sarcoma\", \"laser therapy,\" and \"laser treatment.\" Case reports and observational studies with defined patient characteristics, standardized laser protocols, and documented outcomes were included.</p><p><strong>Results: </strong>The Nd:YAG laser emerged as the leading modality for thick, nodular KS lesions, demonstrating deep tissue penetration and high efficacy with minimal adverse effects. The pulsed dye laser (PDL) was highly effective for superficial cutaneous and mucosal lesions, with excellent cosmetic outcomes and minimal recurrence. The CO<sub>2</sub> laser showed promise in ablating small lesions but had limitations due to scarring risks and potential biohazard concerns. Argon lasers were historically important but are now less favored due to lower specificity for vascular targets and higher risk of non-vascular tissue damage.</p><p><strong>Conclusions: </strong>Laser therapy offers versatile and effective treatment options for KS. Nd:YAG and PDL lasers are particularly promising due to their high efficacy, favorable safety profiles, and low recurrence rates. Further research is needed to refine laser protocols and validate long-term outcomes in different patient populations.</p>","PeriodicalId":11168,"journal":{"name":"Dermatology practical & conceptual","volume":"15 3","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339106/pdf/","citationCount":"0","resultStr":"{\"title\":\"Laser Therapy Approaches in the Treatment of Kaposi's Sarcoma: A Comprehensive Review of Dermatologic Options.\",\"authors\":\"Chiara Battilotti, Fortunato Cassalia, Francesca Svara, Alessandra Latini, Norma Cameli, Steven Paul Nisticò\",\"doi\":\"10.5826/dpc.1503a5332\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Kaposi's sarcoma (KS) is a multicentric angioproliferative disease associated with human herpesvirus 8 and often exacerbated by immunosuppression. Effective treatment includes systemic and local therapies, with laser treatments gaining prominence in dermatological practice.</p><p><strong>Objectives: </strong>This narrative review evaluated the efficacy and safety of laser treatment modalities in the management of cutaneous and mucosal KS lesions to guide dermatological decision-making.</p><p><strong>Methods: </strong>A comprehensive English-language literature search was conducted using PubMed and Scopus up to November 2024. Search terms included \\\"Kaposi's sarcoma\\\", \\\"laser therapy,\\\" and \\\"laser treatment.\\\" Case reports and observational studies with defined patient characteristics, standardized laser protocols, and documented outcomes were included.</p><p><strong>Results: </strong>The Nd:YAG laser emerged as the leading modality for thick, nodular KS lesions, demonstrating deep tissue penetration and high efficacy with minimal adverse effects. The pulsed dye laser (PDL) was highly effective for superficial cutaneous and mucosal lesions, with excellent cosmetic outcomes and minimal recurrence. The CO<sub>2</sub> laser showed promise in ablating small lesions but had limitations due to scarring risks and potential biohazard concerns. Argon lasers were historically important but are now less favored due to lower specificity for vascular targets and higher risk of non-vascular tissue damage.</p><p><strong>Conclusions: </strong>Laser therapy offers versatile and effective treatment options for KS. Nd:YAG and PDL lasers are particularly promising due to their high efficacy, favorable safety profiles, and low recurrence rates. Further research is needed to refine laser protocols and validate long-term outcomes in different patient populations.</p>\",\"PeriodicalId\":11168,\"journal\":{\"name\":\"Dermatology practical & conceptual\",\"volume\":\"15 3\",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339106/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Dermatology practical & conceptual\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5826/dpc.1503a5332\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dermatology practical & conceptual","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5826/dpc.1503a5332","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

卡波西肉瘤(KS)是一种与人类疱疹病毒8相关的多中心血管增生性疾病,常因免疫抑制而加重。有效的治疗包括全身和局部治疗,激光治疗在皮肤科实践中日益突出。目的:本综述评价激光治疗方式在皮肤和粘膜KS病变管理中的有效性和安全性,以指导皮肤科决策。方法:利用PubMed和Scopus检索截止到2024年11月的英文文献。搜索词包括“卡波西肉瘤”、“激光治疗”和“激光治疗”。病例报告和观察性研究明确了患者特征、标准化激光治疗方案和记录的结果。结果:Nd:YAG激光成为治疗厚结节性KS病变的主要方式,具有组织渗透深、疗效高、副作用小的特点。脉冲染料激光(PDL)对浅表皮肤和粘膜病变非常有效,具有良好的美容效果和最小的复发率。CO2激光在消融小病变方面表现出希望,但由于疤痕风险和潜在的生物危害问题而存在局限性。氩激光在历史上很重要,但由于对血管靶点的特异性较低,非血管组织损伤的风险较高,现在不太受欢迎。结论:激光治疗为KS提供了多种有效的治疗选择。Nd:YAG和PDL激光器因其高效率、良好的安全性和低复发率而特别有前景。需要进一步的研究来完善激光治疗方案,并验证不同患者群体的长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laser Therapy Approaches in the Treatment of Kaposi's Sarcoma: A Comprehensive Review of Dermatologic Options.

Introduction: Kaposi's sarcoma (KS) is a multicentric angioproliferative disease associated with human herpesvirus 8 and often exacerbated by immunosuppression. Effective treatment includes systemic and local therapies, with laser treatments gaining prominence in dermatological practice.

Objectives: This narrative review evaluated the efficacy and safety of laser treatment modalities in the management of cutaneous and mucosal KS lesions to guide dermatological decision-making.

Methods: A comprehensive English-language literature search was conducted using PubMed and Scopus up to November 2024. Search terms included "Kaposi's sarcoma", "laser therapy," and "laser treatment." Case reports and observational studies with defined patient characteristics, standardized laser protocols, and documented outcomes were included.

Results: The Nd:YAG laser emerged as the leading modality for thick, nodular KS lesions, demonstrating deep tissue penetration and high efficacy with minimal adverse effects. The pulsed dye laser (PDL) was highly effective for superficial cutaneous and mucosal lesions, with excellent cosmetic outcomes and minimal recurrence. The CO2 laser showed promise in ablating small lesions but had limitations due to scarring risks and potential biohazard concerns. Argon lasers were historically important but are now less favored due to lower specificity for vascular targets and higher risk of non-vascular tissue damage.

Conclusions: Laser therapy offers versatile and effective treatment options for KS. Nd:YAG and PDL lasers are particularly promising due to their high efficacy, favorable safety profiles, and low recurrence rates. Further research is needed to refine laser protocols and validate long-term outcomes in different patient populations.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.40
自引率
0.00%
发文量
217
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信