Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-3-27
pubmed:abstractText
Imiquimod is a 240.3-Da synthetic imidazoquinolinamine (C14H16N4), developed in 1983 and approved in 1997 by the US Food and Drug Administration for the topical treatment of external genital and perianal warts and, more recently, also for actinic keratosis and superficial basal cell carcinomas. We report five cases of patients affected by basal cell carcinomas localized in seborrhoeic areas of the face, successfully treated with topical imiquimod and characterized by the occurrence of eruptive epidermoid cysts at the end-point of therapy. The dermatoscopic evaluation disclosed the presence in all lesions of a common feature characterized by a hyperkeratotic yellow-withish area, resembling 'popcorn', excluding dermoscopic basal cell carcinoma features. Furthermore, histological proof confirmed the diagnosis of epidermoid cysts. As reported in the literature and as observed in our clinical experience, the occurrence of epidermoid cysts, after the topical treatment of basal cell carcinomas with imiquimod, may represent a local immune reaction that is drug-related and is a typical remission pattern in particular anatomical areas. We also emphasized the usefulness of dermoscopy in supporting the clinical diagnosis of epidermoid cysts, excluding the presence of tumoural residue or recurrence. In the future, it will be possible to follow-up the lesions after treatment avoiding the post-control biopsy punch.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1471-1753
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
124-9
pubmed:meshHeading
pubmed-meshheading:18991155-Administration, Cutaneous, pubmed-meshheading:18991155-Aged, pubmed-meshheading:18991155-Aminoquinolines, pubmed-meshheading:18991155-Antineoplastic Agents, pubmed-meshheading:18991155-Biopsy, Needle, pubmed-meshheading:18991155-Carcinoma, Basal Cell, pubmed-meshheading:18991155-Dermoscopy, pubmed-meshheading:18991155-Dose-Response Relationship, Drug, pubmed-meshheading:18991155-Drug Administration Schedule, pubmed-meshheading:18991155-Face, pubmed-meshheading:18991155-Female, pubmed-meshheading:18991155-Follow-Up Studies, pubmed-meshheading:18991155-Humans, pubmed-meshheading:18991155-Immunohistochemistry, pubmed-meshheading:18991155-Male, pubmed-meshheading:18991155-Middle Aged, pubmed-meshheading:18991155-Neoplasm Staging, pubmed-meshheading:18991155-Risk Assessment, pubmed-meshheading:18991155-Sampling Studies, pubmed-meshheading:18991155-Skin Neoplasms, pubmed-meshheading:18991155-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
Peculiar clinical and dermoscopic remission pattern following imiquimod therapy of basal cell carcinoma in seborrhoeic areas of the face.
pubmed:publicationType
Journal Article