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基于5-氨基酮戊酸的光动力疗法治疗基底细胞癌:一项10年随访研究

5-aminolevulinic acid based photodynamic therapy for basal cell carcinoma: a 10-years follow-up study.

作者信息

Griškjans Žans, Derjabo Aleksands, Čēma Ingrīda

机构信息

Dammes 2-49, Riga Stradiņš University, Riga, Latvia.

出版信息

Stomatologija. 2013;15(1):32-6.

Abstract

OBJECTIVE

This article presents long-term follow-up after use of topical photodynamic therapy (PDT) for basal cell carcinoma. PDT is treatment option for different tumors, involving use of specific agent which is activated by visible light and results in tissue destruction.

MATERIALS AND METHODS

Overall 20 patients with 29 tumors were treated at the Latvian Oncology Center. Two illumination techniques were used: superficial for smaller lesions and multifiber contact for nodular tumors. Clinical outcome was evaluated at 1, 7, 44 months and 10 years after procedure.

RESULTS

By 10 year follow up, there were 2 tumor recurrences and in one case there was tumor residual tissue after first PDT treatment. Overall after ten years follow-up complete response was 80% of cases.

CONCLUSION

Data in this study supports hypothesis that PDT could be used for the treatment of non-invasive (superficial and nodular) basal cell carcinoma. Results in this study correspond with similar long-term follow-up studies.

摘要

目的

本文介绍了局部光动力疗法(PDT)治疗基底细胞癌后的长期随访情况。PDT是针对不同肿瘤的一种治疗选择,涉及使用特定药物,该药物由可见光激活并导致组织破坏。

材料与方法

拉脱维亚肿瘤中心共治疗了20例患者的29个肿瘤。采用了两种光照技术:较小病变采用浅表照射,结节状肿瘤采用多光纤接触照射。术后1个月、7个月、44个月和10年评估临床结果。

结果

随访10年时,有2例肿瘤复发,1例在首次PDT治疗后有肿瘤残留组织。总体而言,随访10年后80%的病例获得完全缓解。

结论

本研究数据支持以下假设,即PDT可用于治疗非侵袭性(浅表性和结节状)基底细胞癌。本研究结果与类似的长期随访研究结果相符。

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