[Laser treatment of basal cell carcinoma]

Hautarzt. 2018 Jan;69(1):10-16. doi: 10.1007/s00105-017-4092-3.
[Article in German]

Abstract

With a clear increase in the incidence and a continuously earlier onset, the main risk factors for the development of basal cell carcinoma are still exposure to sunlight, fair skin, immunosuppression, carcinogens such as arsenic, chronic irritations and certain genodermatoses. Treatment options for localized resectionable basal cell carcinoma include micrographically controlled surgery, simple excision, curettage, laser ablation, cryosurgery, imiquimod, 5‑fluorouracil, photodynamic treatment and radiotherapy. Non-surgical treatment options are more suited for cases in which surgical procedures lead to disfigurement or functional impairments or for patients with a high surgical risk. Laser treatment, ablative and non-ablative as monotherapy or in combination can represent a meaningful treatment option in selected cases. In recent years there has been an increase in knowledge about the indications and effects of laser treatment of basal cell carcinoma; nevertheless, further studies with a high level of evidence are necessary.

Keywords: Ablative laser treatment; Basal cell carcinoma; Combination treatment; Non-ablative laser treatment; Patient satisfaction.

Publication types

  • Review

MeSH terms

  • Adult
  • Carcinoma, Basal Cell / etiology
  • Carcinoma, Basal Cell / pathology
  • Carcinoma, Basal Cell / surgery*
  • Child
  • Combined Modality Therapy
  • Cryotherapy / methods
  • Female
  • Humans
  • Interdisciplinary Communication
  • Intersectoral Collaboration
  • Laser Therapy / methods*
  • Lasers, Dye / therapeutic use
  • Male
  • Patient Satisfaction
  • Photochemotherapy / methods
  • Retreatment / methods
  • Skin Neoplasms / etiology
  • Skin Neoplasms / pathology
  • Skin Neoplasms / surgery*