J Korean Soc Plast Reconstr Surg.  2010 Mar;37(2):153-160.

CO2 Laser Resurfacing in Skin Tumor Surgery

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine, Cheonan, Korea. dhkcool@nate.com

Abstract

PURPOSE
The prevalence of skin cancers and cutaneous premalignant lesions are increasing recently. It is necessary to treat cutaneous premalignant lesions, because these can progress to invasive skin cancers. We conducted a retrospective study to evaluate the usefulness of CO2 laser resurfacing in skin tumor surgery.
METHODS
From 2005 to 2008, 14 patients with skin cancers, photodamaged skin and cutaneous premalignant lesions were treated with skin cancer excision, immediate reconstruction, and CO2 facial laser resurfacing. Mean average follow-up period was 15.6 months(5 months-36 months). Biopsy and clinical photograph were taken preoperatively, intraoperatively and through follow-up period to assess the effectiveness of laser resurfacing. Recurrence and side effects were evaluated through follow-up period.
RESULTS
Histologic examination shows the abolition of actinic atypia, regeneration of epidermis and normalization of cellular differentiation after laser resurfacing. Clinical photographs shows elimination of keratoses and spots, and the homogeneous, smoothening change of skin surface, indicating healthy and younger faces. All patients had remained free of skin cancers and premalignant lesions in laser-treated field through follow-up period.
CONCLUSION
CO2 laser resurfacing in skin tumor surgery can treat not only premalignant lesions but also subclinical lesions of photodamaged skin. Moreover it may be helpful in prophylaxis against skin cancers and premalignant lesions, providing rejuvenation and cosmetic improvement.

Keyword

CO2 lasers; Laser ablation; Skin neoplasms; Cutaneous preneoplastic conditions

MeSH Terms

Actins
Biopsy
Cosmetics
Epidermis
Follow-Up Studies
Humans
Keratosis
Laser Therapy
Lasers, Gas
Prevalence
Recurrence
Regeneration
Rejuvenation
Retrospective Studies
Skin
Skin Neoplasms
Actins
Cosmetics
Full Text Links
  • JKSPRS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr