Photodynamic Therapy for the Treatment of Skin Cancer in Patients with Idiopathic Thrombocytopenia: A Case Report
Journal Title: Dermatology – Open Journal - Year 2016, Vol 1, Issue 1
Abstract
Idiopathic Thrombocytopenia (IT) is an autoimmune disease in which the patients present a reduction of blood platelets, increasing the risk of bleeding and its complications. Especially, elderly patients those with neoplasia associated to idiopathic thrombocytopenia are more likely to severe risks of bleeding. Here were report a case of an eighty-year-old man with diagnosis of idiopathic thrombocytopenia and confirmed biopsy of nodular basal cell carcinoma (nBCC) located on the nose. The use of the standard treatment surgery was not carried in this case due to risks generated by autoimmune disease. Photodynamic Therapy (PDT) was indicated as an adjuvant therapy associated to shaving and electro coagulation providing elimination of recent cancer cells. This PDT is an alternative for the treatment of modular basal cell carcinoma no greater than 2 cm of diameter and small depth. The patient was treated with shaving, electrocoagulation and topical PDT using 20% methyl aminolevulinate (MAL) and fluency of 150 J/cm2 with 630 nm light. This adjuvant treatment of nodular BCC is minimally invasive and can be indicated to patients with surgical risks, and that is the importance for this report. The success of this case is an important precedent for thousands of patients’ with similar conditions.
Authors and Affiliations
Kate Cristina Blanco
Keywords
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- EP ID EP550636
- DOI 10.17140/ DRMTOJ-1-108
- Views 140
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