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局部应用咪喹莫特治疗复发性原位性恶性雀斑样痣黑素瘤。

Topical Imiquimod for Management of Recurrent Lentigo Maligna Melanoma in Situ.

机构信息

Professor Igor Bartenjev, MD, PhD, Department of Dermatovenerology, Medical faculty, University of Ljubljana, Pod kostanji 4, 1000 Ljubljana, Slovenia;

出版信息

Acta Dermatovenerol Croat. 2020 Jul;28(1):34-37.

PMID:32650849
Abstract

Topical imiquimod is a medication approved for the treatment of external genital and perianal warts, actinic keratosis, and superficial basal cell carcinoma. There have also been reports of its successful use in patients with lentigo maligna melanoma in situ. An 80-year-old female patient was diagnosed with lentigo maligna melanoma in situ which was then surgically removed. After several recurrences, nonsurgical treatment using topical 5% imiquimod was introduced. At 9-month follow-up the skin was completely healed with no evidence of cancer recurrence. In select cases, topical imiquimod seems to be an effective alternative to surgical treatment of melanoma in situ (MIS). Further studies are necessary to assess the successfulness of this treatment method.

摘要

局部咪喹莫特是一种已被批准用于治疗外阴和肛门生殖器疣、光化性角化病和浅表基底细胞癌的药物。也有报道称,它对原位恶性黑素瘤患者也有成功的治疗作用。一名 80 岁的女性患者被诊断为原位恶性黑素瘤,随后进行了手术切除。在几次复发后,采用局部 5%咪喹莫特进行非手术治疗。在 9 个月的随访中,皮肤完全愈合,没有癌症复发的迹象。在某些情况下,局部咪喹莫特似乎是原位黑素瘤(MIS)手术治疗的有效替代方法。需要进一步的研究来评估这种治疗方法的成功。

相似文献

1
Topical Imiquimod for Management of Recurrent Lentigo Maligna Melanoma in Situ.局部应用咪喹莫特治疗复发性原位性恶性雀斑样痣黑素瘤。
Acta Dermatovenerol Croat. 2020 Jul;28(1):34-37.
2
Should topical imiquimod be used for positive margins in lentigo maligna?对于恶性雀斑样痣的切缘阳性情况,是否应使用外用咪喹莫特?
J Am Acad Dermatol. 2021 Aug;85(2):521-522. doi: 10.1016/j.jaad.2020.02.087. Epub 2020 May 7.
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Amelanotic lentigo maligna managed with topical imiquimod as immunotherapy.采用咪喹莫特局部免疫疗法治疗无色素性恶性雀斑样痣。
J Am Acad Dermatol. 2004 May;50(5):792-6. doi: 10.1016/j.jaad.2003.11.057.
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Periocular lentigo maligna treated with imiquimod.眼周原位恶性黑素瘤用咪喹莫特治疗。
J Dermatolog Treat. 2011 Apr;22(2):109-12. doi: 10.3109/09546630903559798. Epub 2010 Jul 28.
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Imiquimod in the treatment of extensive recurrent lentigo maligna.咪喹莫特治疗广泛复发性恶性雀斑样痣。
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Lentigo maligna successfully treated with imiquimod.咪喹莫特成功治疗恶性雀斑样痣。
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Effectiveness of 5% Topical Imiquimod for Lentigo Maligna Treatment.5%外用咪喹莫特治疗恶性雀斑样痣的疗效。
Acta Derm Venereol. 2019 Sep 1;99(10):884-888. doi: 10.2340/00015555-3241.
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Treatment of lentigo maligna with imiquimod 5% cream.用5%咪喹莫特乳膏治疗恶性雀斑样痣。
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Comparison of Melanocyte Density Counts in Topical Imiquimod-Treated Skin Surrounding Lentigo Maligna vs Control Biopsy Specimens.比较咪喹莫特治疗周围痣样恶性黑素瘤的皮肤与对照活检标本中黑素细胞密度计数。
JAMA Dermatol. 2018 Apr 1;154(4):482-484. doi: 10.1001/jamadermatol.2017.5632.
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Recurrence of lentigo maligna and development of invasive melanoma after treatment of lentigo maligna with imiquimod.咪喹莫特治疗恶性雀斑后恶性雀斑复发及侵袭性黑色素瘤的发生
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引用本文的文献

1
Topical Treatment of Melanoma In Situ, Lentigo Maligna, and Lentigo Maligna Melanoma with Imiquimod Cream: A Systematic Review of the Literature.咪喹莫特乳膏局部治疗原位黑色素瘤、恶性雀斑样痣及恶性雀斑样痣黑色素瘤:文献系统评价
Dermatol Ther (Heidelb). 2023 Oct;13(10):2187-2215. doi: 10.1007/s13555-023-00993-1. Epub 2023 Aug 24.