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Topical imiquimod therapy for lentigo maligna
Mary-Helen Mahoney1, Mariamma G Joseph, Claire Temple
1Division of Plastic Surgery, University of Toronto, ON, Canada.
Annals of Plastic Surgery
|September 25, 2008
Summary
Topical imiquimod cream offers a promising alternative for treating lentigo maligna (LM), a challenging skin cancer. This study found an 86% success rate with manageable side effects, warranting further clinical trials.
Area of Science:
- Dermatology
- Oncology
- Immunology
Background:
- Lentigo maligna (LM) poses significant challenges for complete surgical excision.
- Imiquimod, a topical immune-response modifier, targets the immune system to treat skin conditions.
Observation:
- Seven patients with LM were treated with topical imiquimod 5% cream, 5 nights per week for an average of 12.4 weeks.
- Data collected included patient and lesion characteristics, treatment side effects, and post-treatment biopsy results.
Findings:
- Complete histologic and clinical resolution of LM was observed in 86% (6 of 7 patients) during a follow-up period of 19.1 months.
- Common side effects included erythema (86%) and crusting (71%), necessitating dose alterations in 71% of patients.
Implications:
- Topical imiquimod demonstrates a high response rate and tolerable side effects for treating lentigo maligna.
- Further controlled clinical trials are recommended to establish the efficacy of imiquimod for LM treatment.
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