Recurrence rates and patient assessed outcomes of 0.5% 5-fluorouracil in combination with salicylic acid treating actinic keratoses.

Author: StockflethEggert, WillersChristoph, ZwingersThomas

Paper Details 
Original Abstract of the Article :
BACKGROUND: Actinic keratoses (AK) have been classified as early in situ squamous cell carcinomas and should be treated. OBJECTIVES: To evaluate the clinical benefit of 5-fluorouracil 0.5%/salicylic acid 10.0% (5-FU/SA) versus 3% diclofenac/hyaluronic acid (HA) for the treatment of AK and report pa...See full text at original site
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引用元:
https://doi.org/10.1684/ejd.2012.1707

データ提供:米国国立医学図書館(NLM)

Treating Actinic Keratoses: A Comparative Study

This research explores the effectiveness of different topical treatments for [actinic keratoses (AKs)], precancerous skin lesions that can progress to squamous cell carcinoma. The authors conducted a randomized, double-blind, controlled trial to compare the efficacy of 5-fluorouracil/salicylic acid (5-FU/SA) versus diclofenac/hyaluronic acid (HA) in treating AKs.

5-FU/SA Demonstrates Superior Sustained Efficacy

The study revealed that topical 5-FU/SA demonstrated superior sustained clinical efficacy in treating AKs compared to diclofenac/HA. At 12 months after the end of treatment, a significantly higher percentage of lesions did not recur in the 5-FU/SA group compared to the vehicle and diclofenac/HA groups. This finding suggests that 5-FU/SA might be a more effective treatment option for AKs, offering greater long-term control over lesion recurrence.

Patient Satisfaction and Tolerability

The study also evaluated patient satisfaction and tolerability of the treatments. Patients in the 5-FU/SA group reported higher satisfaction with the treatment, although they experienced more local side effects, such as inflammation and burning. Overall, patients found the treatments to be acceptable and did not experience significant difficulties with application or handling.

Dr.Camel's Conclusion

This study provides valuable insights into the comparative efficacy of different topical treatments for AKs. The researchers' findings suggest that 5-FU/SA might be a more effective treatment option for AKs, offering greater long-term control over lesion recurrence. However, it's important to consider the potential for local side effects and to weigh the benefits and risks carefully when selecting a treatment for AKs.

Date :
  1. Date Completed 2012-09-04
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

22494856

DOI: Digital Object Identifier

10.1684/ejd.2012.1707

SNS
PICO Info
in preparation
Languages

English

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