CO2 Laser Resurfacing in Skin Tumor Surgery.

Jang, Ju Yun; Oh, Sang Ah; Lee, Sung Hwan; Kang, Dong Hee

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(2):153-160.
Published online March 1, 2010.

CO2 Laser Resurfacing in Skin Tumor Surgery.

Ju Yun Jang, Sang Ah Oh, Sung Hwan Lee, Dong Hee Kang

Department 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.

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

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