Rosenbach A, Alster T S
Washington Institute of Dermatologic Laser Surgery, Washington, DC 20037, USA.
Dermatol Surg. 1997 Aug;23(8):708-10. doi: 10.1111/j.1524-4725.1997.tb00396.x.
Multiple trichoepitheliomas are transmitted in an autosomal dominant fashion and can be clinically disfiguring. As with other dermal tumors, destructive techniques such as cryotherapy, electrodesiccation, and radiation therapy can improve the cosmetic appearance, but each of these treatments carries a significant risk of side effects and recurrence.
We describe a patient with a severe case of recurrent multiple trichoepitheliomas following excision, cryotherapy, and electrodesiccation.
Treatment with a high-energy, pulsed carbon dioxide laser produced an excellent clinical response with no recurrence noted in the treated area for 12 months.
Laser vaporization of trichoepitheliomas using a pulsed carbon dioxide delivery system may provide superior clinical results without scanning and evidence of regrowth.
多发性毛发上皮瘤以常染色体显性方式遗传，可在临床上造成容貌损毁。与其他皮肤肿瘤一样，冷冻疗法、电干燥法和放射疗法等破坏性技术可改善外观，但这些治疗方法均有显著的副作用和复发风险。
我们描述了一名患者，其在切除、冷冻疗法和电干燥法治疗后出现复发性多发性毛发上皮瘤的严重病例。
使用高能脉冲二氧化碳激光治疗产生了极佳的临床反应，治疗区域在12个月内未出现复发。
使用脉冲二氧化碳输送系统对毛发上皮瘤进行激光汽化可能会提供更好的临床效果，无需扫描且无再生长迹象。
