Treatment of basal cell cancer in the periorbital area using a pulsed copper vapour laser

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Abstract

An increase in life expectancy in developed countries is inevitably accompanied by an increase in the number of nonmelanoma skin diseases, which are primarily represented by basal cell cancer (BCC) occurring in elderly and old-age patients. The pathogenesis of such diseases is associated both with impaired proliferation and differentiation of the keratinocytes of the epidermal basal layer, as well as with the transformation of the vasculature in the papillary dermis in the vicinity of BCC. In recent years, such conditions have been increasingly treated using CO2 , neodymium, diode and pulsed-dye lasers. In many cases, these devices allow malignant BCC cells to be successfully eliminated. However, the use of near-infrared lasers in the periorbital area is limited due to a higher risk of damaging the organs of the visual system. Therefore, a search for new laser surgery methods that can be used for treating malignant skin tumours seems to be a prospective research direction.

Methods. 3 male and 9 female patients diagnosed with primary BCC were treated using a copper vapour laser (Yakhroma-Med). The age of the patients varied from 34 to 77 years. Laser treatment was carried out in one session under the following irradiation parameters: the wavelength of 511 and 578 nm, the average power of up to 3 W and a series of 15 ns pulses. The pause between the pulses was 60 μs, with the exposure time ranging from 200 to 600 ms. The light spot diameter on the skin surface was 1 mm. The follow-up monitoring duration was 24 months.

Results. In all the BCC patients, one session of copper vapour laser treatment allowed malignant cells in the disease area to be completely eliminated without relapses during 2 years after the therapy. The duration of skin healing in the irradiated area was 2 weeks in patients under the age of 40 years, compared to 3–4 weeks in elderly patients. After the treatment, short-term side effects, such as a slight edema, erythema and peeling, were observed.

About the authors

S. V. Klyuchareva

North-Western State Medical University named after I.I. Mechnikov

Email: genasveta@rambler.ru

Dr. Sci. (Med.), Prof., Department of Dermatovenereology,

Piskarevsky prospect, 47, Saint Petersburg, 195067

Russian Federation

I. V. Ponomarev

Lebedev Physical Institute, Russian Academy of Sciences

Author for correspondence.
Email: iponom@okb.lpi.troitsk.ru

Cand. Sci. (Phys.-Math.), Project manager, 

Leninsky prospekt, 53, Moscow, 119991

Russian Federation

S. B. Topchy

Lebedev Physical Institute, Russian Academy of Sciences

Email: fake@neicon.ru

Cand. Sci. (Phys.-Math.), Senior Researcher, 

Leninsky prospekt, 53, Moscow, 119991

Russian Federation

A. E. Pushkareva

Saint Petersburg National Research University of Information Technologies, Mechanics and Optics (ITMO University)

Email: alexandra.pushkareva@gmail.com

Cand. Sci. (Engineering), Tutor, Department of Laser Technologies and Systems,

Kronverksky prospect, 49, Saint Petersburg, 197101

Russian Federation

Yu. N. Andrusenko

Medical Centre “Institute of Health”

Email: fake@neicon.ru

Surgeon, Oncodermatologist, Head of the Department,

Constitution sq., 26, Kharkov, 61000

Ukraine

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Copyright (c) 2018 Klyuchareva S.V., Ponomarev I.V., Topchy S.B., Pushkareva A.E., Andrusenko Y.N.

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