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Treatment of giant Bowen's disease with sequential use of photodynamic therapy and imiquimod cream.

TitleTreatment of giant Bowen's disease with sequential use of photodynamic therapy and imiquimod cream.
Publication TypeJournal Article
Year of Publication2011
AuthorsSotiriou, E., Lallas A., APALLA Z., & Ioannides D.
JournalPhotodermatol Photoimmunol Photomed
Volume27
Issue3
Pagination164-6
Date Published2011 Jun
ISSN1600-0781
KeywordsAdministration, Topical, Aged, Aminoquinolines, Antineoplastic Agents, Bowen's Disease, Head and Neck Neoplasms, Humans, Imiquimod, Male, Photochemotherapy, Remission Induction, Skin Neoplasms
Abstract

We present a 79-year-old man with a 2-year history of Bowen's disease. The 10 × 10 plaque was located on the right frontotemporal area. The patient was treated with two photodynamic therapy (PDT) sessions, performed 1 week apart, followed by five times per week application of imiquimod 5% cream for 6 consecutive weeks. Complete clinical and histological response was achieved 3 months after treatment was completed. The patient remains recurrence free 12 months after treatment. Cosmetic outcome was evaluated as fair because of residual erythema. Long-term follow-up is mandatory for assessment of recurrences. Further studies are needed in order to confirm the improved outcome using the combination of PDT and imiquimod cream.

DOI10.1111/j.1600-0781.2011.00586.x
Alternate JournalPhotodermatol Photoimmunol Photomed
PubMed ID21535173

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