Oral hamartomatous lesion of Cowden's disease treated with the combination of erbium:YAG laser and topical sirolimus

Minimally Invasive Plasma Device Management of Multiple Benign Skin Cancers Associated with Rare Genodermatoses-Case Series and Review of the Therapeutic Methods

Background: Non-melanocytic benign skin tumours encompass a diverse group of lesions, classified based on their cellular origin, such as epidermal, vascular, fibrous, neural, muscle, and adnexal tumours. Though they often reveal solitary lesions, multiple skin tumours focus on genodermatoses. Each syndrome exhibits distinct clinical characteristics and potential complications, including cutaneous and extra-cutaneous malignancies, some of which are potentially life-threatening. Diagnosing genetic syndromes is complex and requires numerous histopathological and immunohistochemistry tests due to similarities between the adnexal tumours and basal cell carcinoma upon pathology. Methods: To illustrate the clinical practice, we conducted a retrospective case study that included eleven patients with genodermatoses referred to a tertiary dermatology clinic from September 2018 to April 2024. We have also conducted a research study on available treatment modalities in this setting. Results: Five patients with excellent aesthetic results were treated using a recently approved FDA plasma device. After searching SCOPUS and PubMed database records, we assessed 96 original articles to present current knowledge regarding the dermato-surgical approach. Conclusions: Multiple skin tumours, especially on the face, may significantly affect patients' quality of life and have psychological consequences. An appropriate treatment selection tailored to the patient's needs should be provided. There is no standardised treatment for multiple benign tumours in genodermatoses, and selected methods with varying efficacy are employed. We presented the utility of a new plasma device in these settings.

Identification of c.104T>G, p.Met35Arg (NM_00314.8) heterozygous variant in exon 2 of PTEN as the causative factor for Cowden syndrome: a medical case study

A representative case of Cowden syndrome with florid mucocutaneous manifestations is presented. A genetic study revealed the c.104T>G, p.Met35Arg (NM_00314.8) heterozygous variant in exon 2 of PTEN. A satisfactory response of skin lesions to sirolimus was obtained.

CO2 Laser Treatment of Multiple Oral Hamartomas in Cowden's Syndrome: A Review and Case Study

Background

Cowden’s syndrome is a genetic disorder characterized by multiple oral hamartomas and an increased risk of internal malignancy. These mucocutaneous lesions can be physically disfiguring and psychologically distressing. As a result, patients frequently seek treatment for their destruction. Removal of oral hamartomas is often a challenge due to their sensitive location and high risk of recurrence.

Objective

To review the clinical use, effectiveness, and safety of a fractional ablative laser to treat multiple oral hamartomas in a patient with Cowden’s syndrome.

Materials and Methods

A thorough literature review pertaining to treatment of oral hamartomas and a discussion of an illustrative case showcasing successful lesional destruction with a fractional ablative carbon dioxide (CO₂) laser in a 33-year-old man with Cowden’s syndrome.

Results

Multiple oral hamartomas were effectively removed with fractional CO₂ laser vaporization. No infection, scarring, dermatitis, nor lesional recurrence were observed 6 months post-treatment.

Conclusion

Fractional CO₂ laser vaporization can be used effectively to treat multiple oral hamartomas associated with Cowden’s syndrome.

The perspective of dermatology residents on cosmetology training: A survey

BACKGROUND

Cosmetology training is an under-fulfilled component of dermatology residency training.

AIMS

To determine the availability of cosmetic training for dermatology residents in Turkey, their satisfaction by their cosmetic training and their self-confidence in cosmetic procedures.

PATIENTS/METHODS

An online survey of 33 questions was performed between February and March 2019.

RESULTS

Out of 329 known dermatology residents, 113 (34.3%) responded. 94.7% of the participants thought cosmetic training should be part of residency training. 50.4% received cosmetology training. Of the participants, 50.4% took this training in their department, 43.4% in conferences and courses and 24.8% in private practice. Skills learned in conferences and cosmetology courses made the biggest contribution to the cosmetic knowledge of the participants. Theoretical lectures on cosmetology were present in 22.1% of the training programs, whereas practical lessons were included in 16.8% of the programs. Theoretical lectures were found to fulfill expectancies of 8% of participants, while this percentage was 31.5% for practical lectures. 54% of residents felt confident in performing at least one type of cosmetic procedure unassisted.

CONCLUSIONS

Cosmetic training in clinics providing residency training in Turkey does not meet the expectations of residents. It is of utmost importance for future specialists in dermatology to get proficient on this field and to be able to make cosmetic procedures independently for patient safety and to protect our field of profession. In this context, including cosmetology training into residency training in accordance with a preconceived program, providing practical cosmetic training in training clinics and organization of cosmetic courses for residents by professional associations may help reduce the deficits in this issue.