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5-fluorouracil iontophoretic therapy for Bowen's disease
M L Welch1, W J Grabski, M L McCollough
1Dermatology Service, Walter Reed Army Medical Center, Washington, USA.
Iontophoresis of 5-fluorouracil (5-FU) offers an effective treatment for Bowen's disease, with high success rates. This method overcomes limitations of topical 5-FU, improving patient outcomes.
Area of Science:
- Dermatology
- Oncology
Background:
- Topical 5-fluorouracil (5-FU) is a standard treatment for Bowen's disease.
- Recurrence is linked to follicular penetration and patient adherence issues with traditional topical application.
Purpose of the Study:
- To evaluate the efficacy of iontophoresis for delivering 5-FU in treating Bowen's disease.
Main Methods:
- Twenty-six patients with confirmed Bowen's disease underwent eight 5-FU iontophoresis sessions over four weeks.
- Surgical excision was performed three months post-treatment, with histological analysis of specimens.
Main Results:
- Histological examination revealed residual Bowen's disease in only one out of 26 patients (3.8%) post-treatment.
Conclusions:
- 5-FU iontophoresis is a safe and effective therapeutic option for Bowen's disease.
- The iontophoretic delivery method demonstrates good tolerability and efficacy.
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