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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
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A Multimodal Imaging Approach Based on Micro-CT and Fluorescence Molecular Tomography for Longitudinal Assessment of Bleomycin-Induced Lung Fibrosis in Mice
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Bleomycin sclerotherapy for large diffuse microcystic lymphatic malformations.

Lingling Sheng1, Ziyou Yu1, Shengli Li1

  • 1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Gland Surgery
|July 16, 2021
PubMed
Summary
This summary is machine-generated.

Bleomycin sclerotherapy is effective for treating large microcystic lymphatic malformations (LMs). This method, combining lavage and injection, shows good results with few complications, making it a primary therapy for LMs.

Keywords:
Pulmonary fibrosisbleomycin injectionmicrocystic lymphatic malformations (microcystic LMs)sclerotherapy

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Area of Science:

  • Vascular Surgery
  • Dermatology
  • Pediatric Surgery

Background:

  • Microcystic lymphatic malformations (LMs) are congenital vascular anomalies.
  • Lesions are characterized by small cysts (<1 cm diameter).
  • Bleomycin sclerotherapy is established for macrocystic LMs.

Purpose of the Study:

  • To evaluate the safety and efficacy of bleomycin sclerotherapy for large, diffuse microcystic LMs.
  • To assess outcomes and complications of the treatment.

Main Methods:

  • Ultrasound used to determine lesion location and size in 46 patients.
  • Bleomycin lavage for larger cysts and intradermal injection for superficial lesions.
  • Outcomes and complications were systematically assessed.

Main Results:

  • Large diffuse microcystic LMs commonly found in the neck, abdominal wall, and chest.
  • Average lesion size was 10.6 cm x 7.2 cm.
  • Excellent (69.6%) or moderate (23.9%) responses observed.
  • No recurrence in patients with long follow-up.
  • Common complications included swelling, hemorrhage, and fever; no lung fibrosis noted.

Conclusions:

  • Combined bleomycin lavage and intradermal injection is effective and safe for large diffuse microcystic LMs.
  • The treatment offers good therapeutic effects with low complication rates.
  • This approach is recommended as a primary therapy for microcystic LMs.