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经皮光动力疗法联合光敏剂 Photosan 治疗 7,12-二甲基苯并蒽诱导的颊囊癌变前病变

Effective treatment of 7,12-dimethylbenz(a)anthracene-induced hamster buccal pouch precancerous lesions by topical photosan-mediated photodynamic therapy.

机构信息

Graduate Institute of Oral Biology and Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.

出版信息

Head Neck. 2012 Apr;34(4):505-12. doi: 10.1002/hed.21761. Epub 2011 Apr 11.

DOI:10.1002/hed.21761
PMID:21484926
Abstract

BACKGROUND

Previous studies found that topical photodynamic therapy (PDT) is very effective for human oral precancerous lesions.

METHODS

This study evaluated whether topical photosan-mediated PDT (topical photosan-PDT), using a 640-nm light-emitting diode (LED) light, is an effective treatment modality for hamster buccal pouch precancerous lesions. Fourteen 7,12-dimethylbenz(a)anthracene (DMBA)-induced hamster buccal pouch precancerous lesions were treated with topical photosan-PDT using the 640-nm LED light twice a week.

RESULTS

All 14 of the precancerous lesions showed a complete histologically confirmed response to the lesions after an average of 3.79 (range, 3-5) PDT treatments. Normal and precancerous pouch mucosae in the other 4 hamsters received 17 or 19 treatments of topical photosan-PDT showed no cumulative side effects. No recurrence of the lesions was found in these 18 PDT-treated hamsters after a follow-up period of 50 weeks.

CONCLUSION

Our findings indicate that topical photosan-PDT is a very effective treatment modality for DMBA-induced hamster buccal pouch precancerous lesions.

摘要

背景

先前的研究发现,局部光动力疗法(PDT)对人类口腔癌前病变非常有效。

方法

本研究评估了使用 640nm 发光二极管(LED)光的局部光敏剂介导的 PDT(局部光敏剂-PDT)是否是治疗仓鼠颊囊癌前病变的有效治疗方法。用 DMBA 诱导的 14 只仓鼠颊囊癌前病变,每周两次用 640nm LED 光进行局部光敏剂-PDT 治疗。

结果

所有 14 个癌前病变在平均 3.79(范围 3-5)次 PDT 治疗后,均获得了完全的组织学确认应答。另外 4 只仓鼠的正常和癌前囊黏膜接受了 17 或 19 次局部光敏剂-PDT 治疗,没有累积的副作用。在 50 周的随访期内,18 只接受 PDT 治疗的仓鼠未发现病变复发。

结论

我们的研究结果表明,局部光敏剂-PDT 是治疗 DMBA 诱导的仓鼠颊囊癌前病变的一种非常有效的治疗方法。

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