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. 2012 May-Jun;16(3):212-7.
doi: 10.1177/120347541201600316.

Intralesional methotrexate treatment for keratoacanthoma tumors: a retrospective case series

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Intralesional methotrexate treatment for keratoacanthoma tumors: a retrospective case series

Nicolas Aubut et al. J Cutan Med Surg. 2012 May-Jun.

Abstract

Background: Intralesional methotrexate (IL-MTX) is an effective treatment for keratoacanthoma.

Objective: We sought to determine the response rates and adverse events in KA treated with intralesional methotrexate.

Methods: All cases of KA treated with intralesional methotrexate at our institutions from 2001 to 2009 were systematically reviewed.

Results: Forty-six cases of KA treated with IL-MTX were identified. A complete resolution was achieved in 74% of patients, requiring an average of 1.8 injection sessions, for a mean total dose of 10 mg. Adverse events did not occur.

Limitations: The follow-up period was short, and there was no histologic confirmation of the initial diagnosis.

Conclusion: IL-MTX is an effective and well-tolerated alternative to surgery for the treatment of KA.

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