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Laser Treatment of Nevomelanocytic Nevi: Can Results From an Asian Study Be Applicable to the White Population?

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I read with interest the Editorial Review regarding the use of laser in the treatment of pigmented lesions.¹ I share the authors' concern that there is a lack of long-term studies regarding the use of laser in the treatment of nevomelanocytic nevi. Therefore, the issue is whether one should use laser to treat these lesions at all or be selective, as suggested by the authors of the article.

Like many of my colleagues in Asia, I frequently use laser to treat facial melanocytic nevus. Indeed, the only long-term follow-up study is from Japan when Imayama and Ueda² reported no histological evidence of malignant changes 8 years after normal ruby laser treatment for congenital nevi. This is not due to a difference in therapeutic approach, and I do not believe we are necessarily more aggressive than our Western colleagues. A more important reason is the differences in the biological behavior of . . . [Full Text of this Article]