Ingenol Mebutate for Lentigo Maligna: A Case Report.

Gadaldi, Karolina; Feldmeyer, Laurence; Yawalkar, Nikhil; Hunger, Robert (2016). Ingenol Mebutate for Lentigo Maligna: A Case Report. Dermatology, 232 Suppl 1, pp. 24-28. Karger 10.1159/000447393

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BACKGROUND Lentigo maligna (LM) is a melanoma in situ on sun-damaged skin, with a strong predilection to the head and neck area of the elderly. Many therapeutic modalities have been proposed in the treatment of this pathology, including surgery, cryotherapy, radiotherapy and topical imiquimod. Up to date surgical excision remains the treatment of choice with the lowest recurrence rate. Recently, a new topical treatment with ingenol mebutate has been described to be efficacious and well tolerated in the treatment of melanoma in situ. OBJECTIVE We sought to demonstrate that ingenol mebutate might be an efficacious and well-tolerated treatment in a patient suffering from LM on an aesthetically challenging location. METHODS Case report. RESULTS After therapeutic failure with imiquimod 5% cream, a new topical treatment with ingenol mebutate gel 0.015% once daily on 3 consecutive days was initiated. Despite visible inflammation, no macroscopic lesion clearance was observed. While the first follow-up using reflectance confocal microscopy (RCM) performed at 6 weeks after the completion of the therapy showed no signs of LM, the second follow-up examination at 12 weeks using RCM and biopsy confirmed recurrence of the lesion. CONCLUSION Ingenol mebutate cannot be considered a standard treatment modality for all types of LM. Further studies are needed to evaluate the prerequisites that can ensure therapeutic success.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology

UniBE Contributor:

Gadaldi, Karolina; Feldmeyer, Laurence; Yawalkar, Nikhil and Hunger, Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1018-8665

Publisher:

Karger

Language:

English

Submitter:

Sandra Nyffenegger

Date Deposited:

01 Mar 2017 10:18

Last Modified:

15 Sep 2017 11:09

Publisher DOI:

10.1159/000447393

PubMed ID:

27513527

BORIS DOI:

10.7892/boris.93455

URI:

https://boris.unibe.ch/id/eprint/93455

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