Castro D J, Tartell P B, Soudant J, Saxton R E
Department of Surgery, UCLA School of Medicine, Los Angeles, California.
J Clin Laser Med Surg. 1993 Feb;11(1):33-7. doi: 10.1089/clm.1993.11.33.
Syringomas are benign tumors of eccrine origin that occur primarily in the lower eyelid region of females. Since they do not involute and are typically refractory to conventional forms of therapy, they may grow to become considerable, chronic cosmetic and functional deficits. The current study reports on a patient with familial syringomas, previously refractory to two different standard therapies, who was successfully treated with the superpulsed CO 2 laser. A simple, accurate, and reproducible method of dosimetry of laser energy was used to treat these lesions with the Sharplan 700 CO 2 laser connected to the operating microscope. Each lesion was irradiated separately with single pulses at a calculated energy density of 1 J/cm 2. Superficial scabbing was observed 1 week postoperatively, with no edema or pain. Mild erythema persisted for 1 month, with complete healing thereafter. No recurrences were noted after a 2 year follow-up. There was no evidence of scarring, ectropion, or changes in pigmentation. The disease and methods of treatment are reviewed.
汗管瘤是一种起源于小汗腺的良性肿瘤，主要发生于女性下眼睑区域。由于它们不会自行消退，并且通常对传统治疗方法具有抗性，因此可能会不断增大，造成严重的、长期的美容和功能缺陷。本研究报告了一名患有家族性汗管瘤的患者，该患者先前对两种不同的标准治疗均无反应，但通过超脉冲二氧化碳激光成功治愈。使用一种简单、准确且可重复的激光能量剂量测定方法，通过连接到手术显微镜的Sharplan 700二氧化碳激光对这些病变进行治疗。每个病变分别以1 J/cm²的计算能量密度进行单脉冲照射。术后1周观察到浅表结痂，无水肿或疼痛。轻度红斑持续1个月，此后完全愈合。随访2年未发现复发。没有瘢痕形成、睑外翻或色素沉着变化的迹象。本文对该疾病及治疗方法进行了综述。
