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Fractional cryosurgery. A new technique for basal cell carcinoma of the eyelids and periorbital area.
Dermatol Surg. 1997 Jun; 23(6):475-81.DS

Abstract

BACKGROUND

Cryosurgery is an established method to treat malignant tumors of the eyelids and periorbital area. Nevertheless, it has been abandoned for tumors greater than 10 mm, because it gives irregular esthetic results and, in some cases, lagophthalmos.

OBJECTIVE

To devise a new method for the treatment of such tumors.

METHOD

Fractional cryosurgery is performed in stages: the center of the lesion is frozen, resulting in a reduction of the tumor; this procedure is repeated, as necessary, until the lesion's diameter is smaller than 10 mm; the standard cryosurgical procedure is then carried out.

RESULTS

The treatment of the first 20 basal cell carcinomas with diameters between 10 and 24 mm is described, with excellent clinical and cosmetic results.

CONCLUSION

With fractional cryosurgery, the final scar bears no relation to the size of the original tumor but, instead, corresponds to the size of the lesion preceding the final cryosurgical procedure.

Authors+Show Affiliations

Department of Dermatology, Hospital Distrital de Santarém, Portugal.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

9217800

Citation

Gonçalves, J C.. "Fractional Cryosurgery. a New Technique for Basal Cell Carcinoma of the Eyelids and Periorbital Area." Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], vol. 23, no. 6, 1997, pp. 475-81.
Gonçalves JC. Fractional cryosurgery. A new technique for basal cell carcinoma of the eyelids and periorbital area. Dermatol Surg. 1997;23(6):475-81.
Gonçalves, J. C. (1997). Fractional cryosurgery. A new technique for basal cell carcinoma of the eyelids and periorbital area. Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], 23(6), 475-81.
Gonçalves JC. Fractional Cryosurgery. a New Technique for Basal Cell Carcinoma of the Eyelids and Periorbital Area. Dermatol Surg. 1997;23(6):475-81. PubMed PMID: 9217800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fractional cryosurgery. A new technique for basal cell carcinoma of the eyelids and periorbital area. A1 - Gonçalves,J C, PY - 1997/6/1/pubmed PY - 1997/6/1/medline PY - 1997/6/1/entrez SP - 475 EP - 81 JF - Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] JO - Dermatol Surg VL - 23 IS - 6 N2 - BACKGROUND: Cryosurgery is an established method to treat malignant tumors of the eyelids and periorbital area. Nevertheless, it has been abandoned for tumors greater than 10 mm, because it gives irregular esthetic results and, in some cases, lagophthalmos. OBJECTIVE: To devise a new method for the treatment of such tumors. METHOD: Fractional cryosurgery is performed in stages: the center of the lesion is frozen, resulting in a reduction of the tumor; this procedure is repeated, as necessary, until the lesion's diameter is smaller than 10 mm; the standard cryosurgical procedure is then carried out. RESULTS: The treatment of the first 20 basal cell carcinomas with diameters between 10 and 24 mm is described, with excellent clinical and cosmetic results. CONCLUSION: With fractional cryosurgery, the final scar bears no relation to the size of the original tumor but, instead, corresponds to the size of the lesion preceding the final cryosurgical procedure. SN - 1076-0512 UR - https://www.unboundmedicine.com/medline/citation/9217800/Fractional_cryosurgery__A_new_technique_for_basal_cell_carcinoma_of_the_eyelids_and_periorbital_area_ DB - PRIME DP - Unbound Medicine ER -