Clear cell acanthoma successfully treated with a carbon dioxide laser

Ching Chi Chi, Shu Hui Wang, Huei-Sheng Huang

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

BACKGROUND. The treatment of choice for clear cell acanthoma (CCA) is excision. Resolution after cryotherapy has also been reported but requires three to four courses of treatment. OBJECTIVE. To demonstrate three CCA lesions in two patients successfully treated with a carbon dioxide (CO2) laser. METHODS. Under local anesthesia, these lesions were vaporized by using a CO 2 laser in the Silktouch mode with a spot size of 5 mm and a fluence of 20 J/cm2. Two to six passes, as needed, were delivered until the tumor was completely removed. RESULTS. Pain was minimal or nonexistent during and after the operation. No postoperative edema was noted. The wounds healed satisfactorily without scarring. No sign of recurrence was found following operation. CONCLUSION. The CO2 laser has the advantages of requiring only one course, precise tumor removal, a relatively bloodless surgical field, a short operation time, and less or no postoperative pain and edema. Postoperative wound care is convenient and easy with hydrocolloid and alginate dressings. The patient's quality of life is less adversely affected. The CO 2 laser may be appropriate for multiple CCAs, giant CCA, CCA overlying or near joints, CCA refractory to cryotherapy, patients on anticoagulants, and those who cannot tolerate pain from cryotherapy, especially children and the elderly.

Original languageEnglish
Pages (from-to)1355-1358
Number of pages4
JournalDermatologic Surgery
Volume31
Issue number10
DOIs
Publication statusPublished - 2005 Jan 1

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Acanthoma
Gas Lasers
Cryotherapy
Carbon Monoxide
Edema
Lasers
Hydrocolloid Bandages
Pain
Postoperative Care
Wounds and Injuries
Local Anesthesia
Giant Cells
Postoperative Pain
Anticoagulants
Cicatrix
Neoplasms
Joints
Quality of Life
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

Cite this

Chi, Ching Chi ; Wang, Shu Hui ; Huang, Huei-Sheng. / Clear cell acanthoma successfully treated with a carbon dioxide laser. In: Dermatologic Surgery. 2005 ; Vol. 31, No. 10. pp. 1355-1358.
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Clear cell acanthoma successfully treated with a carbon dioxide laser. / Chi, Ching Chi; Wang, Shu Hui; Huang, Huei-Sheng.

In: Dermatologic Surgery, Vol. 31, No. 10, 01.01.2005, p. 1355-1358.

Research output: Contribution to journalArticle

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AB - BACKGROUND. The treatment of choice for clear cell acanthoma (CCA) is excision. Resolution after cryotherapy has also been reported but requires three to four courses of treatment. OBJECTIVE. To demonstrate three CCA lesions in two patients successfully treated with a carbon dioxide (CO2) laser. METHODS. Under local anesthesia, these lesions were vaporized by using a CO 2 laser in the Silktouch mode with a spot size of 5 mm and a fluence of 20 J/cm2. Two to six passes, as needed, were delivered until the tumor was completely removed. RESULTS. Pain was minimal or nonexistent during and after the operation. No postoperative edema was noted. The wounds healed satisfactorily without scarring. No sign of recurrence was found following operation. CONCLUSION. The CO2 laser has the advantages of requiring only one course, precise tumor removal, a relatively bloodless surgical field, a short operation time, and less or no postoperative pain and edema. Postoperative wound care is convenient and easy with hydrocolloid and alginate dressings. The patient's quality of life is less adversely affected. The CO 2 laser may be appropriate for multiple CCAs, giant CCA, CCA overlying or near joints, CCA refractory to cryotherapy, patients on anticoagulants, and those who cannot tolerate pain from cryotherapy, especially children and the elderly.

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