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本人运用光动力疗法治疗阴茎癌患者的经验。

Own experience in treatment of patients with penile cancer using photodynamic therapy.

作者信息

Filonenko Elena, Kaprin Andrey, Alekseev Boris, Urlova Antonina

机构信息

P.A. Herzen Moscow Cancer Research Institute, 2nd Botkinskiy Proezd 3, Moscow 125284, Russia.

出版信息

Biomed Res Int. 2015;2015:245080. doi: 10.1155/2015/245080. Epub 2015 Mar 5.

Abstract

Penile cancer is a rare pathology. For penile cancer surgical treatment, radiotherapy, chemotherapy, and combined modality treatment are available. Because of great importance of this organ for mental condition of patient, the development of organ-preserving methods allowing to minimize impact on patient's quality of life without compromising of oncological results is desirable. In the Center of Laser and Photodynamic diagnosis and treatment of tumors in P.A. Herzen Moscow Cancer Research Institute the methods of photodynamic therapy in patients with penile cancer have been developed. From 2011 to 2013 the treatment was conducted in 11 patients with precancer and cancer of penile. The average age was 56.6. According to morphological diagnosis photodynamic therapy (PDT) was performed using two methods. One method included topical application of agent for PDT and the second intravenous administration of photosensitizer. For topical application alasens was used and for intravenous injection we applied radachlorine. All patients had no complications. Complete regression was achieved in 9 patients, and partial regression in 2. Thus, the results showed that photodynamic therapy for penile cancer stage Tis-1N0M0 permits performing organ-preserving treatment with satisfactory oncological results and no impairment of patient's quality of life.

摘要

阴茎癌是一种罕见的病症。对于阴茎癌,有手术治疗、放射治疗、化学治疗以及综合治疗等方法可供选择。由于该器官对患者心理状况至关重要,因此开发能够在不影响肿瘤治疗效果的前提下最大程度减少对患者生活质量影响的保留器官方法是很有必要的。在莫斯科癌症研究所以A.P. 赫岑命名的肿瘤激光与光动力诊断和治疗中心,已经研发出针对阴茎癌患者的光动力治疗方法。2011年至2013年期间,对11例阴茎癌前病变和阴茎癌患者进行了治疗。平均年龄为56.6岁。根据形态学诊断,采用两种方法进行光动力治疗(PDT)。一种方法是局部应用光动力治疗药物,另一种是静脉注射光敏剂。局部应用时使用阿拉森,静脉注射时使用拉达氯林。所有患者均无并发症。9例患者实现完全缓解,2例患者部分缓解。因此,结果表明,对于Tis-1N0M0期阴茎癌,光动力治疗能够实现保留器官的治疗,肿瘤治疗效果令人满意,且不会损害患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f187/4365299/107e4ac51b96/BMRI2015-245080.001.jpg

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