Naomi Alvarez December 2, 2006 R5 - EBM Assignment EBM QUESTION In the patient with a cutaneous basal cell carcinoma, would treatment with imiquimod 5% cream (Aldara) alone as compared to conventional surgical interventions lead to the same outcome of treatment in terms of recurrence rates, completion of treatment, and cosmetic outcome? BIBLIOGRAPHY (Dr. F. – My plan is to have the annotation part done over Christmas break. For now, here are the articles that I am using.) Barnestone, R. St. C., Satchell, A. , Zhuang, L., Slade, H.B., Halliday, G.M. (2004) Imiquimod induced regression of clinically diagnosed superficial basal cell carcinoma is associated with early infiltration by CD4 T cells and dendritic cells. Clinical and Experimental Dermatology, 29, 639-643. Bianchi, L., Costanzo, A., Campione, E., Nistico, S., and Chimenti, S. (2003) Superficial and nodular basal cell carcinomas treated with an immune response modifier: a report of seven patients. Clinical and Experimental Dermatology 28(Suppl. 1), 24-26. Cowen, Edward, Mercurio, Mary Gail, and Gaspari, Anthony A. (2002) An open case series of patients with basal cell carcinoma treated with topical 5% imiquimod cream. Journal of the American Academy of Dermatology, 47(Suppl. 4), S240S248. Dahl, Mark V. (2002) Imiquimod: A cytokine inducer. Journal of the American Academy of Dermatology, 47(Suppl. 4), S205-S208. Geisse, John K., Rich, Phoebe, Pandya, Amit, Gross, Kenneth, Andres, Kara, Ginkel, Angie, Owens, Mary. (2002) Imiquimod 5% cream for the treatment of superficial basal cell carcinoma: A double-blind, randomized, vehicle controlled study. Journal of the American Academy of Dermatology, 47 (3), 390-398. McCutcheon, Brion, White, Kenneth, Kotwall, Cyrus, Germolic, Dori, Rebollosos, Yvette, Hamann, Mary Sue, Stiles, Anquonette. (2005) A Preliminary Study of Imiquimod Treatment in Variants of Basal Cell Carcinoma. The American Surgeon, 71(8), 662-665. Mirza, B. and De’Ambrosis, B. (2003) Treatment of facial superficial basal cell carcinoma with imiquimod 5% cream. Clinical and Experimental Dermatology, 28(Suppl. 1), 16-18. Oldfield, Vicki, Keating, Gillian M., and Perry, Caroline M. (2005) Imiquimod in superficial basal cell carcinoma. American Journal of Clinical Dermatology, 6(3), 195-200. Peris, Ketty, Campione, Elena, Micantonio, Tamara, Marulli, Georgiana Clare, Fargnoli, Maria Concetta, and Chimenti, Sergio. (2005) Imiquimod Treatment of Superficial and Nodular Basal Cell Carcinoma: 12-Week Open-Label Trial. Dermatologic Surgery, 31(3), 318-323. Persaud, Andrea and Lebwohl, Mark. (2002) Imiquimod cream in the treatment of actinic keratoses. Journal of the American Academy of Dermatology, 47(Suppl. 4), S236-S239. Quirk, Chris, Gebauer, Kurt, Owens, Mary, and Stampone, Paul. (2006) Two-year interim results from a 5-year study evaluating clinical recurrence of superficial basal cell carcinoma after treatment with imiquimod 5% cream daily for 6 weeks. Australasian Journal of Dermatology, 47, 258-265. Salasche, Stuart. (2002) Imiquimod 5% cream: a new treatment option for basal cell carcinoma. International Journal of Dermatology, 41 (Suppl. 1), 16-20. Shumack, Stephen, Gebauer, Kurt, Quirk, Chirs, Macdonald, Ken, Walters, Shelley-Ann, and Owens, Mary. (2004) 5% Imiquimod Cream for the Treatment of Large Superficial Basal Cell Carcinoma. Archives of Dermatology, 140, 1286-1287. Shumack, Stephen, Robinson, June, Kossard, Steven, Golitz, Loren, Greenway, Hubert, Schroeter, Arnold, Andres, Kara, Amies, Mark, Owens, Mary. (2002) Efficacy of Topical 5% Imiquimod Cream for the Treatment of Nodular Basal Cell Carcinoma. Archives of Dermatology, 138, 1165-1171. Schulze, H.J., Cribier, B., Requena, L., Reifenberger, J., Ferrandiz, C., Diez, A. Garcia, Tebbs, V., and McRae, S. (2005) Imiquimod 5% cream for the treatment of superficial basal cell carcinoma: results from a randomized vehicle-controlled phase III study in Europe. British Journal of Dermatology, 152, 939-947. Spencer, James M. (2006) Pilot Study of Imiquimod 5% Cream as Adjunctive Therapy to Curettage and Electrodesiccation for Nodular Basal Cell Carcinoma. Dermatologic Surgery, 32(1), 63-69. Stulberg, Daniel L., Crandell, Blain, Fawcett, Robert S. (2004) Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinomas. American Family Physician, 70, 1481-1488. Vidal, D., Matias-Guiu, X., and Alomar, A. (2004) Open study of the efficacy and mechanism of action of topical imiquimod in basal cell carcinoma. Clinical and Experimental Dermatology, 29, 518-525. Vun, Yin and Siller, Greg. (2006) Use of 5% imiquimod cream in the treatment of facial basal cell carcinoma: A 3-year retrospective follow up study. Australasian Journal of Dermatology, 47, 169-171.