Nevi and lasers: Practical considerations Journal Article


Authors: Rogers, T.; Krakowski, A. C.; Marino, M. L.; Rossi, A.; Anderson, R. R.; Marghoob, A. A.
Article Title: Nevi and lasers: Practical considerations
Abstract: Lasers are increasingly used for elective ablation of melanocytic nevi (MN). However, the associated risks of treating MN with lasers are debated and not well studied. Theoretical risks include inadvertently treating a melanoma mistaken for a nevus, the inability to remove all nevus cells and the possibility for residual cells to undergo malignant transformation, and the difficulty in clinically monitoring the remnant nevus for melanoma progression. Additional concerns include the morphological suitability of a lesion for laser removal and managing patients’ expectations about the variable cosmetic outcomes. These potential issues have prompted us to outline some practical suggestions for clinicians and patients to consider when determining the suitability of a nevus for laser ablation. The choice to perform laser removal of a nevus is personal, both from the perspective of the treating physician and that of the person being treated. While acknowledging some uncertainty, we believe that these suggestions can help mitigate risk and improve patient outcomes. Lasers Surg. Med. 50:7–9, 2018. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.
Keywords: treatment response; cancer risk; letter; disease association; melanoma; dermoscopy; reflectance confocal microscopy; melanocyte; epiluminescence microscopy; high risk patient; melanocytic nevus; complications; expectation; clinical effectiveness; laser surgery; risk reduction; cutaneous melanoma; laser; lentigo; pigmented nevus; hypertrophic scar; low risk patient; human; priority journal; pigmented lesion
Journal Title: Lasers in Surgery and Medicine
Volume: 50
Issue: 1
ISSN: 0196-8092
Publisher: John Wiley & Sons  
Date Published: 2018-01-01
Start Page: 7
End Page: 9
Language: English
DOI: 10.1002/lsm.22766
PROVIDER: scopus
PUBMED: 29159963
DOI/URL:
Notes: Letter -- Export Date: 6 February 2018 -- Source: Scopus
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  1. Ashfaq A Marghoob
    534 Marghoob
  2. Anthony Rossi
    236 Rossi
  3. Tova   Rogers
    11 Rogers