Abstract | BACKGROUND:
Lymphangioma circumscriptum (LC) is a rare, superficial, cutaneous lymphatic malformation. Management is difficult because of high recurrence rates, regardless of the treatment modality chosen. The carbon dioxide ( CO2 ) laser may offer a less-invasive option than surgery that provides satisfactory functional and cosmetic results. OBJECTIVES: To systematically review the efficacy and safety of the CO2 laser for the treatment of LC. METHODS: The terms " lymphangioma circumscriptum" and "microcystic lymphatic malformation" were combined with "treatment," " laser," and " carbon dioxide" during separate searches in the PubMed database. The articles retrieved were then evaluated based on set criteria. RESULTS: We identified 16 studies (11 case reports, 5 case series) with a total of 28 separate patients who had been treated for LC using a CO2 laser. Eight patients remained disease free from 4 months to 3 years, 10 experienced partial recurrence, and two experienced complete recurrence. Various laser parameters were reported, and adverse effects were generally minor and infrequent, such as dyspigmentation and mild scarring. CONCLUSIONS: Available evidence indicates that the CO2 laser is a safe and efficacious option for the treatment of LC, particularly in large lesions that may not be amenable to surgical intervention.
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Authors | Jessica A Savas, Jennifer Ledon, Katlein Franca, Anna Chacon, Martin Zaiac, Keyvan Nouri |
Journal | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
(Dermatol Surg)
Vol. 39
Issue 8
Pg. 1147-57
(Aug 2013)
ISSN: 1524-4725 [Electronic] United States |
PMID | 23607875
(Publication Type: Journal Article, Review, Systematic Review)
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Copyright | © 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc. |
Topics |
- Female
- Humans
- Lasers, Gas
(therapeutic use)
- Lymphatic Abnormalities
(pathology, surgery)
- Male
- Middle Aged
- Recurrence
- Skin Diseases
(pathology, surgery)
- Treatment Outcome
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