Successful treatment of classic kaposi sarcoma with long-pulse neodymium-doped yttrium aluminum garnet laser: A preliminary study

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dc.authorid0000-0002-7022-913X
dc.authorid0000-0001-5057-0405
dc.contributor.authorÖzdemir, Mustafa
dc.contributor.authorBalevi, Ali
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:51:48Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:51:48Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Deri ve Zührevi Hastalıklar Ana Bilim Dalı
dc.descriptionWOS: 000398047200007
dc.descriptionPubMed ID: 28157730
dc.description.abstractBACKGROUND Kaposi sarcoma (KS) is a systemic disease that can present with cutaneous lesions with or without internal involvement, mostly caused by infection with human herpesvirus-8. The treatment options include surgical excision, cryotherapy, radiotherapy, intralesional chemotherapy, laser, and elastic stockings for the prevention of lymphedema. OBJECTIVE This article presents 7 cases with classic KS treated with the long-pulse neodymium: yttriumaluminum- garnet (Nd:YAG) laser. METHODS Forty-nine lesions of 7 KS patients (5 stage 1, 2 stage 2A) were treated with Nd: YAG laser with a spot size of 4 to 6 mm and a fluence of 180 J/cm(2) increased by 10 J/cm(2) in the neighboring area to a maximum of 260 J/cm(2). The pulse sequencing was 1.5, and delay time was 5 milliseconds. Sessions were continued at 4-week intervals for 2 to 4 sessions. RESULTS All patients exhibited clinical and histological improvement. One session was sufficient for small lesions, whereas coalescing and multicentric lesions required up to 4 sessions. All the lesions healed in 2 to 4 weeks, with the only complication being mild atrophic scars. CONCLUSION With the advantage of penetrating into deeper sites than other lasers, long-pulse Nd:YAG is an efficient and safe local treatment alternative especially for papulonodular and deeper lesions located on bony structures.
dc.identifier.citationÖzdemir, M. ve Balevi, A. (2017). Successful treatment of classic kaposi sarcoma with long-pulse neodymium-doped yttrium aluminum garnet laser: A preliminary study. Dermatologic Surgery, 43(3), 366-370. https://dx.doi.org/10.1097/DSS.0000000000000973
dc.identifier.doi10.1097/DSS.0000000000000973
dc.identifier.endpage370
dc.identifier.issn1076-0512
dc.identifier.issn1524-4725
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage366
dc.identifier.urihttps://dx.doi.org/10.1097/DSS.0000000000000973
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2286
dc.identifier.volume43
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofDermatologic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectNeodymium-Doped Yttrium Aluminum
dc.subjectClassic Kaposi Sarcoma
dc.subjectSuccessful Treatment
dc.titleSuccessful treatment of classic kaposi sarcoma with long-pulse neodymium-doped yttrium aluminum garnet laser: A preliminary study
dc.typeArticle

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