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Abstract
Introduction. Basal cell carcinoma is the most common malignant neoplasm of skin. The treatment of a patient is aimed at radical removal of the tumor. The use of a CO2-laser can be an alternative method of treatment in situations where other treatments are impossible or unavailable.
Aim. To evaluate the efficacy and the cosmetic outcome after treatment of patients with various clinical subtypes of basal cell skin cancer with the use of superpulsed CO2-laser.
Materials and methods. The retrospective study included 40 patients with 56 lesions of histologically confirmed basal cell skin cancer treated with a CO2-laser in the Scientific Center of Dermatovenereology and Cosmetology since 2018 to 2020.
Results. Out of 56 lesions of basal cell skin cancer, 33 (59%) were clinically, dermatoscopically and pathomorphologically classified as superficial, and 23 (41%) as nodular one. Of the 56 lesions, 50 lesions (89.2%) were healed within one session, and only six lesions (10.8%) showed recurrences. Excellent and satisfactory cosmetic results of treatment were seen in 86% of cases. The best cosmetic result was observed with the use of laser destruction of basal cell skin cancer lesions localized on the face and having a size of up to 5 mm (p=0,015).
Conclusion. Application of CO2-laser destruction is a valid method for the treatment of basal cell skin cancer patients, including those with multiple foci below 2 cm in diameter, of superficial and nodular histological subtypes, which demonstrated satisfactory cosmetic outcome.
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