Aminolevulinic Acid 20% Topical Solution Activated by Blue Light in the Treatment of Facial Cutaneous Squamous Cell Carcinoma in situ

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Alec Lawson https://orcid.org/0009-0001-5147-9803
Wilhelmina Lam, DO, MPH https://orcid.org/0000-0001-6709-4281
Alexandra DeVries https://orcid.org/0009-0008-6576-2432
Aysham Chaudry
Robert Vanaria
Mark S. Nestor, MD, PhD

Keywords

ALA-PDT, blue light, Red light, Aminolevulinic Acid, Cutaneous Squamous Cell Carcinoma, Squamous cell carcinoma in situ (SCCIS)

Abstract

Cutaneous squamous cell carcinoma in situ (isSCC) commonly affects sun-exposed facial skin, whereas non-surgical options may be desirable in certain anatomic locations. In this study, 30 patients with biopsy-confirmed facial isSCC received two aminolevulinic acid photodynamic therapy (ALA-PDT) treatments, spaced 28 days apart, followed by a histopathological exam,. Of the 30 patients, 100% achieved clinical and histological clearance. Local reactions were mild and transient, and adverse events were rare. ALA-PDT was safe, well tolerated, and yielded excellent cosmetic outcomes, supporting its role as a non-invasive treatment for facial isSCC.

References

1. Sharma A, Birnie AJ, Bordea C, et al. British Association of Dermatologists guidelines for the management of people with cutaneous squamous cell carcinoma in situ (Bowen disease) 2022. Br J Dermatol. 2023;188(2):186-194. doi:10.1093/bjd/ljac042

2. Nestor MS, Han H, Ceci FM, Lawson A, Gade A. Evaluating the safety and efficacy of aminolevulinic acid 20% topical solution activated by pulsed dye laser and blue light in the treatment of facial cutaneous squamous cell carcinoma in situ. J Cosmet Dermatol. 2023;22(9):2471-2475. doi:10.1111/jocd.15886

3.Nestor MS, Berman B, Patel J, Lawson A. Safety and Efficacy of Aminolevulinic Acid 10% Topical Gel versus Aminolevulinic Acid 20% Topical Solution Followed by Blue-light Photodynamic Therapy for the Treatment of Actinic Keratosis on the Face and Scalp: A Randomized, Double-blind Study. J Clin Aesthet Dermatol. 2019;12(3):32-38.

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