Successful one step CO2 laser ablation of BCC in gorlin syndrome

Abstract

Carbon dioxide laser is a promising treatment option of multiple dermo-epidermal lesions in outpatient environment. Multiple and superficial basal carcinomas in Gorlin syndrome may be sucessfully treated in one step, with high therapeutic speed. We discuss two cases of successful laser treatment of multiple BCC in patients with Gorlin syndrome. Total of 14 lesions in a male patient, and 9 lesions in a female patient, respectively were treated with CO2 laser ablation in one-step treatment session. Achieved excellent aesthetic results are undoubtedly, an important factor for patient’s adequate self-esteem, as even hairs on his head are preserved. We discuss few advantages of using a CO2 ablative destruction of BCC in Gorlin: no need for antiseptics as the laser sterilizes the treatment area, no postoperative pain, a bloodless operating field, very good therapeutic and cosmetic results, fast epithelialization with minimal risks of complications. A possible BCC recurrence is easy detectable, and can be eliminated within the follow-up frames