Evidence map›Paper›PMID 39969047›Full record

ArticleDermatology reports2025

Regenerative therapies in lichen sclerosus genitalis patients and possible efficacy in preventing squamous cell carcinoma development: a long-term follow-up pilot study.

Marinella Tedesco, Barbara Bellei, Lavinia Alei, Monia Di Prete, Carlo Cota, Tiziano Pallara, Antonio Bonadies, Alessandra Latini, Stefania De Fazio, Emilia Migliano

Abstract read
In one paragraph

Article in Dermatology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marinella TedescoDepartment of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome.ORCID 0000-0001-5816-5834
Barbara BelleiLaboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome.ORCID 0000-0002-3883-5500
Lavinia AleiDepartment of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome.
Monia Di PreteGenetic Research, Molecular Biology and Dermatopathology Unit, San Gallicano Dermatological Institute IRCCS, Rome.ORCID 0000-0002-3881-8540
Carlo CotaGenetic Research, Molecular Biology and Dermatopathology Unit, San Gallicano Dermatological Institute IRCCS, Rome.
Tiziano PallaraDepartment of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome.ORCID 0000-0001-7138-8098
Antonio BonadiesDepartment of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome.ORCID 0000-0002-8054-7190
Alessandra LatiniLichen Sclerosus Unit, Department of Dermatology, STI, Environmental Health, Tropical and Immigration, San Gallicano Dermatological Institute IRCCS, Rome.
Stefania De FazioInternational Liaison SICPRE, Italian Society of Plastic and Reconstructive Regenerative Surgery.
Emilia MiglianoDepartment of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome.ORCID 0000-0002-5316-8937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lichen sclerosus (LS) is a chronic scleroatrophic dermatosis of unknown etiology that usually affects the anogenital area and occasionally the extragenital sites, with no definitive cure. LS patients are at higher risk of developing squamous cell carcinoma (SCC) in their lifetime compared to the general population. Through a retrospective study, we evaluated the impact of regenerative medicine-based therapies on SCC onset in the context of genital LS. Patients with LS treated at our institute from March 2013 to December 2022 were reviewed. A total of 319 patients, including 34 treated with adipose-derived stem cell (ADSCs) grafts, 31 treated with ADSCs grafts and platelet-rich plasma (PRP), and 254 treated with PRP, were identified. In parallel, data extracted from the histologic institutional database, searching for SCC in the anogenital area, were matched to surgical records. None of the 319 LS patients developed skin SCC in the anogenital area. Our data suggest that cellular and acellular therapies achieving therapeutic control prevent continuous tissue remodeling and its evolution and, therefore, neoplastic degeneration. Regenerative approaches are considered a valid strategy for treating symptomatic LS patients despite prolonged first-line medical treatment. Studying the genital carcinogenesis of LS cases, we reported for the first time a protective role of PRP, ADSCs, and combined therapies. Thus, in terms of cancer prevention, we propose that regenerative therapies ameliorating disease control in non-responders to conventional therapy represent an important innovative tool.

Identifiers

PMID39969047
PMCPMC12282575

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.