The efficacy of cryosurgery on dermatology

OBJECTIVE: To research the effectiveness of cryosurgery on various indications.
MATERIAL AND METHODS: 89 patients who were treated by cryosurgery application between 14.09.1999 and 25.04.2000 were included in this study. Spray was used in 77 cases, prob in 9 cases, and both were used in 3 cases. The application was carried out until a lateral spread of freeze of 2-3 mm was seen around benign lesions, 3 mm around premalign lesions, and 5 mm around malign lesions. Double freeze-thaw cycle was applied in 55 cases, and single freeze-thaw cycle was applied in 32 cases. In two cases, both double and single freeze-thaw cycle were applied in different sessions; and freeze-thaw cycle was applied in malign lesions. The patients were followed up by weekly controls.
RESULTS: 87% of verruca vulgaris,!00 %of verruca anogenitalis, 57%of verruca plantaris, 80% of verruca filiformis, 100% of molluscum contagiosum, 85% of granuloma pyogenicum, 100% of hemangiom, 100% of actinic keratosis, 100% of seborrheic keratosis, 100% of basal cell carcinoma cases responded to cryosurgery. When evaluated totally, cure rate of the study is 95%.
CONCLUSIONS: While cryosurgery is one of the methods, which is preferred first in the treatment of actinic keratosis, basal cell carcinoma, molluscum contagiosum, granuloma pyogenicum, it is an alternative method in the treatment of verruca vulgaris, verruca anogenitalis, verruca plantaris, verruca filiformis and seborrheic keratosis.

Dermatolojide Kriyocerahinin Etkinliði

AMAÇ: Kriyocerrahinin çeþitli endikasyonlardaki etkinliðini araþtýrmak.
MATERYAL VE METOD: Çalýþmamýza 14.09.1999-25.04.2000 tarihleri arasýnda kriyocerrahi endikasyoýýu konup uygulanan 89 hasta alýndý. 77 vakada sprey, 9 vakada prob, 3 vakada ise hem prob hem sprey kullanýldý. Benign lezyonlarda 2-3 mm lik donma halkasý, premalign lezyonlarda 3 mm lik donma halkasý, nýalign lezyonlarda 5 mm lik donma halkasý oluþturuldu. 55 vakada çift donnýa-erime siklusu, 32 vakada tek donnýa-erime siklusu, 2 vakada deðiþik seanslarda hem çift hem tek donma-erime siklusu uygulandý. Hastalar haftalýk kontrollerle izlendi.
BULGULAR: Verruka vulgariste %87, verruka anogenitalisde %100, verruka plantarisde % 57, verruka fifilormisde %80, nýolluskum kotýtagiosumda %100, piyojenik granolumda %85, hemanjiomda %100, aktinik keratozda %100, seboreik keratozda %100, bazal hücreli karsinonýda %100 oranýnda kriyocerrahi ile baþarý saðlanmýþtýr. Genel olarak deðerlendirildiðinde çalýþmamýzda iyileþme oraný, %95’dir.
SONUÇ: Kriyocerrahi, aktinik keratoz, bazal hücreli karsinoný, nýolluskum kantagiosum, piyajenik granulonýda ilk tercih edilecek tedavi metodlarý arasýnda iken, verruka vulgaris, verruka anogenitalis, verruka plantaris, verruka filiformis ve seboreik keratozda alternatif tedavi metodudur.