Immunocryosurgery for basal cell carcinoma: results of a pilot, prospective, open-label study of cryosurgery during continued imiquimod application

dc.contributor.authorGaitanis, G.en
dc.contributor.authorNomikos, K.en
dc.contributor.authorVava, E.en
dc.contributor.authorAlexopoulos, E. C.en
dc.contributor.authorBassukas, I. D.en
dc.date.accessioned2015-11-24T19:12:04Z
dc.date.available2015-11-24T19:12:04Z
dc.identifier.issn1468-3083-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21010
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAminoquinolines/administration & dosage/*therapeutic useen
dc.subjectAntineoplastic Agents/administration & dosage/*therapeutic useen
dc.subjectCarcinoma, Basal Cell/drug therapy/*surgeryen
dc.subjectCombined Modality Therapyen
dc.subjectCryosurgery/*methodsen
dc.subjectFeasibility Studiesen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectPilot Projectsen
dc.subjectProspective Studiesen
dc.subjectSkin Neoplasms/drug therapy/*surgeryen
dc.titleImmunocryosurgery for basal cell carcinoma: results of a pilot, prospective, open-label study of cryosurgery during continued imiquimod applicationen
heal.abstractBACKGROUND/AIM: Theoretical considerations support the combination of cryosurgery and topical imiquimod to treat basal cell carcinomas (BCC). The aim of the present study was to test the feasibility and efficacy of 'cryosurgery during continued imiquimod application' ('immunocryosurgery') to treat 'high-risk-for-recurrence' BCCs. METHODS: Thirteen patients with 21 biopsy-proven tumours (4 of 21 relapses after prior surgery) were included. After 2-5 weeks (median, 3) of daily 5% imiquimod cream application, the tumours were treated by liquid N(2) cryosurgery (spray, two cycles, 10-20 s) and imiquimod was continued for additional 2-12 weeks (median, 4). The outcome after at least 18 months of follow-up (18-24 months) is currently reported. RESULTS: Nineteen of 21 tumours responded promptly to immunocryosurgery; two tumours required additional treatment cycles to clear. Thus, the clinical clearance rate was 100%. Only 1 of 21(5%) tumour relapsed after at least 18 months of follow-up (cumulative efficacy: 95%). CONCLUSIONS: 'Immunocryosurgery' is a promising non-surgical combination modality to treat 'high-risk-for-recurrence BCCs'. Initial evidence is suggestive of an at least additive effect of the two combined modalities. Further studies comparing immunocryosurgery directly with cryosurgery and imiquimod monotherapies will confirm the reported results.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1111/j.1468-3083.2009.03224.x-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/19555364-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1111/j.1468-3083.2009.03224.x/asset/j.1468-3083.2009.03224.x.pdf?v=1&t=h0ta075s&s=d843d7add337f42ef41b07df05a694c2e14f6a63-
heal.journalNameJ Eur Acad Dermatol Venereolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2009-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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