Molluscum contagiosum surgery: Difference between revisions

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{{Molluscum contagiosum}}
{{Molluscum contagiosum}}
{{CMG}}
{{CMG}}; {{AE}}{{MIR}}


==Overview==
==Overview==
Surgical treatments include [[cryosurgery]], in which [[liquid nitrogen]] is used to freeze and destroy [[lesion]]s, as well as scraping them off with a [[curette]].
Surgical treatments include [[Curettage]], in which molluscum contagiosum lesions are surgically removed. Additionally, [[laser therapy]] can be effective in the treatment of molluscum contagiosum lesions.
==Surgery==
====== Curettage ======
* Physical removal of the molluscum contagiosum lesion with a [[curette]]<ref name="pmid17156002">{{cite journal |vauthors=Hanna D, Hatami A, Powell J, Marcoux D, Maari C, Savard P, Thibeault H, McCuaig C |title=A prospective randomized trial comparing the efficacy and adverse effects of four recognized treatments of molluscum contagiosum in children |journal=Pediatr Dermatol |volume=23 |issue=6 |pages=574–9 |year=2006 |pmid=17156002 |doi=10.1111/j.1525-1470.2006.00313.x |url=}}</ref>
* Immediate effect of treatment
* High number of lesions and concomitant [[atopic dermatitis]] are considered as risk factors associated with treatment failure
* Can lead to small, depressed scars as a side effect


==Surgical treatment==
====Laser====
Application of liquid nitrogen may cause burning or stinging at the treated site, which may persist for a few minutes after the treatment. Scarring or loss of color can complicate both these treatments. With liquid nitrogen, a blister may form at the treatment site, but it will slough off in two to four weeks. Although no longer available in the United States, the topical blistering agent [[cantharidin]] can be effective. It should be noted that cryosurgery and curette scraping are not painless procedures. They may also leave scars and/or permanent white (depigmented) marks.
Pulsed [[dye laser]] therapy for molluscum contagiosum may be effective as the treatment for multiple lesions in patient <ref name="laser1">{{cite journal |author=Hammes S, Greve B, Raulin C |title=[Molluscum contagiosum: treatment with pulsed dye laser] |language=German |journal=Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete |volume=52 |issue=1 |pages=38-42 |year=2001 |pmid=11220237 |doi=}}</ref><ref name="laser2">{{cite journal | author = Hughes P | title = Treatment of molluscum contagiosum with the 585-nm pulsed dye laser. | journal = Dermatol Surg | volume = 24 | issue = 2 | pages = 229-30 | year = 1998 | month = Feb | pmid=9491117}}</ref>
 
==Laser==
Pulsed [[dye laser]] therapy for molluscum contagiosum may be the treatment of choice for multiple lesions in a cooperative patient (Dermatologic Surgery, 1998). The use of pulsed dye laser for the treatment of MC has been documented with excellent results. The therapy was well tolerated, without scars or pigment anomalies. The lesions resolved without scarring at 2 weeks. Studies show 96%–99% of the lesions resolved with one treatment.<!--
  --><ref name="laser1">{{cite journal |author=Hammes S, Greve B, Raulin C |title=[Molluscum contagiosum: treatment with pulsed dye laser] |language=German |journal=Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete |volume=52 |issue=1 |pages=38-42 |year=2001 |pmid=11220237 |doi=}}</ref><!--
  --><ref name="laser2">{{cite journal | author = Hughes P | title = Treatment of molluscum contagiosum with the 585-nm pulsed dye laser. | journal = Dermatol Surg | volume = 24 | issue = 2 | pages = 229-30 | year = 1998 | month = Feb | pmid=9491117}}</ref>
The pulsed dye laser is quick and efficient, but its expense makes it less cost effective than other options. Also, not all dermatology offices have this 585nm laser. It is important to remember that removal of the visible bumps does not cure the disease. The virus is in the skin and new bumps often appear over the course of a year until the body mounts an effective immune response to the virus. Thus any surgical treatment may require it to be repeated each time new crops of lesions appear.


==References==
==References==
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{{reflist|2}}
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Latest revision as of 22:45, 29 July 2020

Molluscum contagiosum Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Molluscum contagiosum from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic criteria

History and Symptoms

Physical Examination

Laboratory Findings

X ray

Ultrasound

CT Scan

MRI

Other Imaging Studies

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

Surgical treatments include Curettage, in which molluscum contagiosum lesions are surgically removed. Additionally, laser therapy can be effective in the treatment of molluscum contagiosum lesions.

Surgery

Curettage
  • Physical removal of the molluscum contagiosum lesion with a curette[1]
  • Immediate effect of treatment
  • High number of lesions and concomitant atopic dermatitis are considered as risk factors associated with treatment failure
  • Can lead to small, depressed scars as a side effect

Laser

Pulsed dye laser therapy for molluscum contagiosum may be effective as the treatment for multiple lesions in patient [2][3]

References

  1. ↑ Hanna D, Hatami A, Powell J, Marcoux D, Maari C, Savard P, Thibeault H, McCuaig C (2006). "A prospective randomized trial comparing the efficacy and adverse effects of four recognized treatments of molluscum contagiosum in children". Pediatr Dermatol. 23 (6): 574–9. doi:10.1111/j.1525-1470.2006.00313.x. PMID 17156002.
  2. ↑ Hammes S, Greve B, Raulin C (2001). "[Molluscum contagiosum: treatment with pulsed dye laser]". Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete (in German). 52 (1): 38–42. PMID 11220237.
  3. ↑ Hughes P (1998). "Treatment of molluscum contagiosum with the 585-nm pulsed dye laser". Dermatol Surg. 24 (2): 229–30. PMID 9491117. Unknown parameter |month= ignored (help)

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