None listed
Conditions
Brief summary
Primary purpose is to identify whether certain dermoscopic criteria can predict the presence or absense of residual disease after non surgical treatment (miquimod cream , phodynamic treatment or cryotherapy) of in situ squamous cell carcinomas (actinic keratosis and Bowen's disease) with sufficient sensitivity and specificity
Interventions
Identify specific dermoscopic features of biopsy proven Actinic Keratosis and Bowen's Disease before and after treatment with Imiquimod cream or Photodynamic therapy or cryotherapy in order to specify the presence or not of residual disease. Actinic keratosis will be treated either with 1 freeze thaw cycle of cryotherapy with liquid nitrogen OR2 sessions of methylaminolevulinate PDT (MAL-PDT, Metvix PDT), one week apart,or imiquimod cream applied 3 days/week for 12 weeks.Bowen’s disease will be treated with 2 freeze-thaw cycles of cryotherapy or 2 sessions of MAL-PDT, one week apart or imiquimod 5% cream applied 5 days/week for 12 week. Dermoscopic evaluation will be performed at baseline, 4 and 12 weeks after last treatment intervention. Participants will be observed in total for their treatment period and for 12 weeks after their last treatment intervention.
Sponsors
Eligibility
Inclusion criteria
18 years of age Biopsy proven actinic keratosis or Bowen's disease
Exclusion criteria
pregnancy and lactation History of hypersensitivity in imiquimod or amilevulinate acid photosensitivity for Photodynamic therapy group