Intralesional Therapy for the Treatment of Keratoacanthoma

    April 2019 in “ Dermatologic therapy
    Norbert Kiss, Pinar Avci, András Bánvölgyi, Kende Lőrincz, József Szakonyi, Nóra Gyöngyösi, Luca Fésűs, Go-Eun Lee, Norbert Wikonkál
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    TLDR Intralesional therapy for keratoacanthoma is effective and has fewer side effects than systemic treatments.
    Keratoacanthoma (KA) is a benign epidermal tumor originating from hair follicles, with rare potential to transform into squamous cell carcinoma. While surgical excision is the gold standard treatment, intralesional therapy offers a cosmetically and functionally preferable alternative with similar outcomes and fewer side effects compared to systemic treatments. Methotrexate is the most commonly used intralesional agent, followed by 5-fluorouracil and interferon alpha. Despite its advantages, guidelines for intralesional treatment of KA are not yet established, and histopathological confirmation is recommended to avoid misdiagnosis. The study reviewed the current state of intralesional treatment for KA.
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