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Abstract

The group of indications regarding benign tumors and organoid nevi is very heterogeneous. Ablative lasers (CO2 and Erbium:YAG laser) are mainly used for therapy. In case there is an additional vascular component, the (additional) use of vascular specific lasers makes sense (long-pulsed Nd:YAG and dye laser). The recurrence rates are often not negligible. Sufficient sun protection is especially important after deeper ablations. Pretherapeutic biopsies are important.

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References

  1. Adams BB, Mutasim DF, Nordlund JJ. Steatocystoma multiplex: a quick removal technique. Cutis. 1999;64:127–30.

    CAS  PubMed  Google Scholar 

  2. Alster TS. Inflammatory linear verrucous epidermal nevus: successful treatment with the 585 nm flashlamp-pumped pulsed dye laser. J Am Acad Dermatol. 1994;31:513–4.

    Article  CAS  PubMed  Google Scholar 

  3. Alster TS, West TB. Ultrapulse CO2 laser ablation of xanthelasma. J Am Acad Dermatol. 1996;34:848–9.

    Article  CAS  PubMed  Google Scholar 

  4. Apfelberg DB, Maser MR, Lash H, White DN. Treatment of xanthelasma palpebrarum with the carbon dioxide laser. J Dermatol Surg Oncol. 1987;13:149–51.

    CAS  PubMed  Google Scholar 

  5. Apfelberg DB, Maser MR, Lash H, White H, Cosman B. Superpulse CO2 laser treatment of facial syringomas. Lasers Surg Med. 1987;7:533–7.

    Article  CAS  PubMed  Google Scholar 

  6. Arndt KA. Adenoma sebaceum: successful treatment with the argon laser. Plast Reconstr Surg. 1982;70:91–3.

    Article  CAS  PubMed  Google Scholar 

  7. Ashinoff R. Linear nevus sebaceus of Jadassohn treated with the carbon dioxide laser. Pediatr Dermatol. 1993;10:189–91.

    Article  CAS  PubMed  Google Scholar 

  8. Baba T, Narumi H, Hanada K, Hashimoto I. Successful treatment of dark-colored epidermal nevus with ruby laser. J Dermatol. 1995;22:567–70.

    CAS  PubMed  Google Scholar 

  9. Becker DW. Use of the carbon dioxide laser in treating multiple cutaneous neurofibromas. Ann Plast Surg. 1991;26:582–6.

    Article  PubMed  Google Scholar 

  10. Berlin AL, Billick RC. Use of CO2 laser in the treatment of periungual fibromas associated with tuberous sclerosis. Dermatol Surg. 2002;28(5):434–6.

    Article  PubMed  Google Scholar 

  11. Birt AR, Hogg GR, Dubé WJ. Multiple fibrofolliculomas with trichodiscomas and acrochordons. Arch Dermatol. 1977;113:1674–7.

    Article  CAS  PubMed  Google Scholar 

  12. Bohigian RK, Shapshay SM, Hybels RL. Management of rhinophyma with carbon dioxide laser: Lahey clinic experience. Lasers Surg Med. 1988;8:397–401.

    Article  CAS  PubMed  Google Scholar 

  13. Boixeda P, Sanchez-Miralles E, Azana JM, Arrazola JM, Moreno R, Ledo A. CO2, argon, and pulsed dye laser treatment of angiofibromas. J Dermatol Surg Oncol. 1994;20:808–12.

    CAS  PubMed  Google Scholar 

  14. Castro DJ, Soudant J, Saxton RE. The surgical management of facial syringomas using the superpulsed CO2-Laser. J Clin Laser Med Surg. 1993;11:33–7.

    CAS  PubMed  Google Scholar 

  15. Cribier B, Scrivener Y, Grosshans E. Tumors arising in nevus sebaceus: a study of 596 cases. J Am Acad Dermatol. 2000;42:263–8.

    CAS  PubMed  Google Scholar 

  16. Dmovsek-Olup B, Vedlin B. Use of the Er:YAG laser for benign skin disorders. Lasers Surg Med. 1997;21:13–9.

    Article  CAS  PubMed  Google Scholar 

  17. Drosner M, Vogt HJ. Xanthelasma palpebrarum. Behandlung mit dem Argonlaser Z Hautkr. 1991;67:144–7.

    Google Scholar 

  18. Ellis DL. Treatment of telangiectasia macularis eruptiva perstans with the 585-nm flashlamp-pumped dye laser. Dermatol Surg. 1996;22:33–7.

    Article  CAS  PubMed  Google Scholar 

  19. Fitzpatrick RE, Goldman MP, Ruiz-Esparza J. Clinical advantage of the CO2 laser superpulsed mode. Treatment of verruca vulgaris, seborrheic keratoses, lentigines, and actinic cheilitis. Dermatol Surg Oncol. 1994;20:449–56.

    CAS  Google Scholar 

  20. Flores JT, Apfelberg DB, Maser MR, Lash H. Trichoepithelioma: successful treatment with the argon laser. Plast Reconstr Surg. 1984;74:694–8.

    Article  CAS  PubMed  Google Scholar 

  21. Foucar K, Rosen T, Foucar E, Cochran RJ. Fibrofolliculoma: a clinicopathologic study. Cutis. 1981;28:429–32.

    CAS  PubMed  Google Scholar 

  22. Frame JW. Carbon dioxide laser surgery for benign oral lesions. Br Dent J. 1985;158:125–8.

    Article  CAS  PubMed  Google Scholar 

  23. Frame JW. Removal of oral soft tissue pathology with the CO2 laser. J Oral Maxillofac Surg. 1985;43:850–5.

    Article  CAS  PubMed  Google Scholar 

  24. Gambichler T, Wolter M, Altmeyer P, Hoffman K. Treatment of Birt-Hogg-Dubé syndrome with erbium:YAG laser. J Am Acad Dermatol. 2000;43(5 Pt 1):856–8.

    Article  CAS  PubMed  Google Scholar 

  25. Giroux JM, Cadotte M, Barolet D, Provost N. Fibrofolliculoma. Treatment with copper vapor laser. Ann Dermatol Venereol. 1994;121(2):130–3.

    CAS  PubMed  Google Scholar 

  26. Gjuric M, Rettinger G. Comparison of carbon dioxide laser and electrosurgery in the treatment of rhinophyma. Rhinology. 1993;31:37–9.

    CAS  PubMed  Google Scholar 

  27. Gladstone GJ, Beckman H, Elson LM. CO2 laser excision of xanthelasma lesions. Arch Ophthalmol. 1985;103:440–2.

    CAS  PubMed  Google Scholar 

  28. Gonzalez S, White WM, Rajadhyaksha M, Anderson RR, Gonzalez E. Confocal imaging of sebaceous gland hyperplasia in vivo to assess efficacy and mechanism of pulsed dye laser treatment. Lasers Surg Med. 1999;25:8–12.

    Article  CAS  PubMed  Google Scholar 

  29. Greenbaum SS, Krull EA, Watnick K. Comparison of CO2 laser and electrosurgery in the treatment of rhinophyma. J Am Acad Dermatol. 1988;18:363–8.

    Article  CAS  PubMed  Google Scholar 

  30. Hadshiew I, Wetzel F, Kimmig W. Treatment of urticaria pigmentosa lesions with the Q-switched ruby-laser. Aust J Dermatol. 1997;38(suppl 2):51–2.

    Google Scholar 

  31. Hammes S, Raulin C, Karsai S, Bernt R, Ockenfels HM. Management papillomatöser intradermaler Nävi: Laser ja oder nein? Eine Prospektivstudie. Hautarzt. 2008;59(2):101–7.

    Article  CAS  PubMed  Google Scholar 

  32. Har-El G, Shapshay SM, Bohigian RK, Krespi YP, Lucente FE. The treatment of rhinophyma. ‘Cold’ vs laser techniques. Arch Otolaryngol Head Neck Surg. 1993;119:628–31.

    CAS  PubMed  Google Scholar 

  33. Hartmann A, Bauer C, Haferkamp B, Lurz C, Hamm H, Bröcker EB. Dermablation benigner Neubildungen sowie Präkanzerosen der Haut mit dem Er:YAG-Laser. Hautarzt 1999;50(suppl 1):139.

    Google Scholar 

  34. Hellwig S, Petzoldt D, König K, Raulin C. Aktueller Stand der Lasertherapie in der Dermatologie. Hautarzt. 1998;49:690–704.

    Article  CAS  PubMed  Google Scholar 

  35. Hintschich C. Argonlaserkoagulation von Xanthelasmen. Ophthalmologe. 1995;92:858–61.

    CAS  PubMed  Google Scholar 

  36. Hoffman SJ, Walsh P, Morelli JG. Treatment of angiofibroma with the pulsed tunable dye laser. J Am Acad Dermatol. 1993;29:790–1.

    Article  CAS  PubMed  Google Scholar 

  37. Hohenleutner U, Landthaler M. Laser therapy of verrucous epidermal naevi. Clin Exp Dermatol. 1993;18:124–7.

    Article  CAS  PubMed  Google Scholar 

  38. Hohenleutner U, Wlotzke U, Konz B, Landthaler M. Carbon dioxide laser therapy of a widespread epidermal nevus. Lasers Surg Med. 1995;16:288–91.

    Article  CAS  PubMed  Google Scholar 

  39. Huerter CJ, Wheeland RG. Multiple eruptive vellus hair cysts treated with carbon dioxide laser vaporization. J Dermatol Surg Oncol. 1987;13:260–3.

    CAS  PubMed  Google Scholar 

  40. Jacob CI, Dover JS. Birt-Hogg-Dube syndrome: treatment of cutaneous manifestations with laser skin resurfacing. Arch Dermatol. 2001;137(1):98–9.

    CAS  PubMed  Google Scholar 

  41. Janniger CK, Goldberg DJ. Angiofibromas in tuberous sclerosis: comparison of treatment by carbon dioxide and argon laser. J Dermatol Surg Oncol. 1990;16:317–20.

    CAS  PubMed  Google Scholar 

  42. Jozwiak S, Schwartz RA, Janninger CK, et al. Skin lesions in children with tuberous sclerosis complex: their prevalence, natural course, and diagnostic significance. Int J Dermatol. 1998;37:911–7.

    Article  CAS  PubMed  Google Scholar 

  43. Junkins-Hopkins JM, Cooper PH. Multiple perifollicular fibromas: report of a case and analysis of the literature. J Cutan Pathol. 1994;21:467–71.

    Article  CAS  PubMed  Google Scholar 

  44. Kahle B, Hellwig S, Schulz T. Multiple mantleomas in Birt-Hogg-Dubé syndrome: successful therapy with CO2 laser. Hautarzt. 2001;52(1):43–6.

    Article  CAS  PubMed  Google Scholar 

  45. Kardorff B. Neurofibromatose Typ I (Morbus Recklinghausen): Kombinierte Erbium:YAG-Laser- und Exzisionstherapie von kutanen Neurofibromen. Derm. 1998;4:404–6.

    Google Scholar 

  46. Kardorff B, Kunze J. Neurofibromatose Typ I (Morbus Recklinghausen): Erbium:YAG-Lasertherapie von kutanen Neurofibromen – Nachbeobachtung über ein Jahr. Derm. 1999;5:199–200.

    Google Scholar 

  47. Karim Ali M, Streitmann MJ. Excision of rhinophyma with the carbon dioxide laser: a ten-year experience. Ann Otol Rhinol Laryngol. 1997;106:952–5.

    CAS  PubMed  Google Scholar 

  48. Karrer S, Hohenleutner U, Szeimies RM, Landthaler M. Treatment of digital mucous cysts with a carbon dioxide laser. Acta Derm Venereol. 1999;79:224–5.

    Article  CAS  PubMed  Google Scholar 

  49. Karsai S, Czarnecka A, Raulin C. Treatment of xanthelasma palpebrarum with a pulsed dye laser: a prospective clinical trial in 38 cases. Dermatol Surg. 36:610–17.

    Google Scholar 

  50. Karsai S, Schmitt L, Raulin C. Is Q-switched Nd:YAG laser (532 nm and 1064 nm) an effective approach to treat xanthelasma palpebrarum? Results from a clinical study in 76 cases. Dermatol Surg. 2009 Dec;35(12):1962-9.

    Google Scholar 

  51. Katalinic D. Laser surgery of Neurofibromatosis 1 (NF 1). J Clin Laser Med Surg. 1992;10:185–92.

    CAS  PubMed  Google Scholar 

  52. Kaufmann R, Hibst R. Pulsed Erbium:YAG laser ablation in cutaneous surgery. Lasers Surg Med. 1996;19:324–30.

    Article  CAS  PubMed  Google Scholar 

  53. Kint A, Baran R. Histopathologic study of Koenen tumors. Are they different from acquired digital fibrokeratoma? J Am Acad Dermatol. 1988;18:369–72.

    Article  CAS  PubMed  Google Scholar 

  54. Krahenbuhl A, Eichmann A, Pfaltz M. CO2 laser therapy for steatocystoma multiplex. Dermatologica. 1991;183:294–6.

    Article  CAS  PubMed  Google Scholar 

  55. Landthaler M, Hohenleutner U. Benigne Tumoren. In: Lasertherapie in der Dermatologie. Lehrbuch und Atlas. Landthaler M, Hohenleutner U, Hrsg. 1. Auflage. Berlin: Springer;1999.p. 97–102.

    Google Scholar 

  56. Landthaler M, Hohenleutner U. Benigne Tumoren. In: Lasertherapie in der Dermatologie. Atlas und Lehrbuch. Landthaler M, Hohenleutner U, Hrsg. 1. Auflage. Berlin: Springer; 1999. p. 99–100.

    Google Scholar 

  57. Losee JE, Serletti JM, Pennino RP. Epidermal nevus syndrome: a review and case report. Ann Plast Surg. 1999;43:211–4.

    CAS  PubMed  Google Scholar 

  58. Luomanen M. Experience with a carbon dioxide laser for removal of benign oral soft-tissue lesions. Proc Finn Dent Soc. 1992;88:49–55.

    CAS  PubMed  Google Scholar 

  59. Mazaira M, del Pozo LJ, Fernández-Jorge B, Fernández-Torres R, Martínez W, Fonseca E. Shave and phenolization of periungual fibromas, Koenen’s tumors, in a patient with tuberous sclerosis. Dermatol Surg. 2008;34(1):111–3.

    Article  CAS  PubMed  Google Scholar 

  60. Mendelson BC, Maason JK. Xanthelasma: follow-up or results after surgical excision. Plast Reconstr Surg. 1976;58:535–8.

    Article  CAS  PubMed  Google Scholar 

  61. Nammour S, Dourov N. Removal of benign tumors using the CO2 laser. J Clin Laser Med Surg. 1992;10:109–13.

    CAS  PubMed  Google Scholar 

  62. Neumann RA, Knobler RM. Treatment of oral mucous cysts with an argon laser. Arch Dermatol. 1990;126:829–30.

    Article  CAS  PubMed  Google Scholar 

  63. Nickel WR, Reed WB. Tuberous sclerosis. Arch Dermatol. 1962;85:209–26.

    CAS  PubMed  Google Scholar 

  64. Olbricht SM. Use of the carbon dioxide laser in dermatologic surgery. A clinically relevant update for 1993. J Dermatol Surg Oncol. 1993;19:364–9.

    CAS  PubMed  Google Scholar 

  65. Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol. 1993;64:589–602.

    CAS  PubMed  Google Scholar 

  66. Pick RM, Pecaro BC. Use of the CO2 laser in soft tissue dental surgery. Lasers Surg Med. 1987;7:207–13.

    Article  CAS  PubMed  Google Scholar 

  67. Ratz JL, Bailin PL, Wheeland RG. Carbon dioxide laser treatment of epidermal nevi. J Dermatol Surg Oncol. 1986;12:567–70.

    CAS  PubMed  Google Scholar 

  68. Raulin C, Greve B. Laser und IPL-Technologie in der Dermatologie und Ästhetischen Medizin. Stuttgart: Schattauer; 2003.

    Google Scholar 

  69. Raulin C, Schönermark MP, Greve B, Werner S. Q-switched ruby laser treatment of tattoos and benign pigmented skin lesions: a critical review. Ann Plast Surg. 1998;41:555–65.

    Article  CAS  PubMed  Google Scholar 

  70. Raulin C, Schönermark MP, Werner S, Greve B. Xanthelasma palpebrarum: treatment with the ultrapulsed CO2 laser. Lasers Surg Med. 1999;24:122–7.

    Article  CAS  PubMed  Google Scholar 

  71. Richter W. Die Anwendung eines Kohlendioxid Lasers bei der Behandlung oraler Weichgewebe. ZWR. 1990;99:969–76.

    CAS  PubMed  Google Scholar 

  72. Riedel F, Bergler W, Baker-Schreyer A, Stein E, Hörmann K. Kontrollierte Feinstdermablation im Gesichtsbereich mit dem Erbium:YAG-Laser. HNO. 1999;47:101–6.

    Article  CAS  PubMed  Google Scholar 

  73. Riedel F, Kanafani N, Windberger J, Stein E. Entfernung von Syringomen mit dem Erbium:YAG Laser-System. Akt Dermatol. 1998;24:20–2.

    Google Scholar 

  74. Roenigk RK, Ratz JL. CO2 laser treatment of cutaneous neurofibromas. J Dermatol Surg Oncol. 1987;13:187–90.

    CAS  PubMed  Google Scholar 

  75. Rongioletti F, Hazini R, Gianotti G, Rebora A. Fibrofolliculomas, trichodiscomas and acrochordons (Birt-Hogg-Dubé) associated with intestinal polyposis. Clin Exp Dermatol. 1988;14:72–4.

    Article  Google Scholar 

  76. Sajben FP, Ross EV. The use of the 1.0 mm handpiece in high energy, pulsed CO2 laser destruction of facial adnexal tumors. Dermatol Surg. 1999;25:41–4.

    Article  CAS  PubMed  Google Scholar 

  77. Sawchuk WS, Heald PW. CO2 laser treatment of trichoepithelioma with focused and defocused beam. J Dermatol Surg Oncol. 1984;10:905–7.

    CAS  PubMed  Google Scholar 

  78. Schönermark MP, Raulin C. Treatment of xanthelasma palpebrarum with the pulsed dye laser. Lasers Surg Med. 1996;19:336–9.

    Article  PubMed  Google Scholar 

  79. Schönermark MP, Schmidt C, Raulin C. Treatment of sebaceous gland hyperplasia with the pulsed dye laser. Lasers Surg Med. 1997;21:313–6.

    Article  PubMed  Google Scholar 

  80. Shapshay SM, Strong MS, Anastasi GW, Vaughan CW. Removal of rhinophyma with the carbon dioxide laser: a preliminary report. Arch Otolaryngol. 1980;106:257–9.

    CAS  PubMed  Google Scholar 

  81. Song MG, Park KB, Lee ES. Resurfacing of facial angiofibromas in tuberous sclerosis patients using CO2 laser with flashscanner. Dermatol Surg. 1999;25:970–3.

    Article  CAS  PubMed  Google Scholar 

  82. Spenler CW, Achauer BM, Vander Kam VM. Treatment of extensive adenoma sebaceum with a carbon dioxide laser. Ann Plast Surg. 1988;20:586–9.

    CAS  PubMed  Google Scholar 

  83. Tanzi E, Alster TS. Pulsed dye laser treatment of multiple eccrine hidrocystomas: a novel approach. Dermatol Surg. 2001;27:898–900.

    Article  CAS  PubMed  Google Scholar 

  84. Ullmann Y, Har-Shai Y, Peled IJ. The use of CO2 laser for the treatment of xanthelasma palpebrarum. Ann Plast Surg. 1993;31:504–7.

    Article  CAS  PubMed  Google Scholar 

  85. Wang JI, Roenigk HH. Treatment of multiple facial syringomas with the carbon dioxide (CO2) laser. Dermatol Surg. 1999;25:136–9.

    Article  CAS  PubMed  Google Scholar 

  86. Ward PE, McCarthy DJ. Periungual fibroma. Cutis. 1990;46:118–24.

    CAS  PubMed  Google Scholar 

  87. Werner S, Hellwig S, Raulin C. Behandlung seborrhoischer Keratosen mit dem gütegeschalteten Rubinlaser. Akt Dermatol. 1996;22:207–9.

    Google Scholar 

  88. Werner S, Raulin C. Behandlung von Syringomen mit dem ultragepulsten CO2-Laser. Z Hautkr. 1996;71:760–2.

    Google Scholar 

  89. Weston J, Apfelberg DB, Maser MR, Lash H, White D. Carbon dioxide laserabrasion for treatment of adenoma sebaceum in tuberous sclerosis. Ann Plast Surg. 1985;15:132–7.

    Article  CAS  PubMed  Google Scholar 

  90. Wheeland RG, Bailin PL, Kronberg E. Carbon dioxide (CO2) laser vaporization for the treatment of multiple trichoepithelioma. J Dermatol Surg Oncol. 1984;10:470–5.

    CAS  PubMed  Google Scholar 

  91. Wheeland RG, Bailin PL, Ratz JL. Combined carbon dioxide laser excision and vaporization in the treatment of rhinophyma. J Dermatol Surg Oncol. 1987;13:172–7.

    CAS  PubMed  Google Scholar 

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I would like to thank Alexandra Hammes for translating this chapter into English and for proofreading.

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Hammes, S. (2011). Benign Tumors and Organoid Nevi. In: Raulin, C., Karsai, S. (eds) Laser and IPL Technology in Dermatology and Aesthetic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03438-1_4

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