Department of Dentistry, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki 857-8511 Japan.
Department of Regenerative Oral Surgery, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8588 Japan.
Photodiagnosis Photodyn Ther. 2018 Mar;21:176-180. doi: 10.1016/j.pdpdt.2017.11.016. Epub 2017 Dec 2.
To assess the effect of photodynamic therapy (PDT) with talaporfin sodium, a second-generation photosensitizer, on oral squamous cell carcinoma (SCC).
Eight patients who were diagnosed with oral SCC without any metastasis and underwent talaporfin sodium-mediated PDT (t-PDT) were included in this study. Biopsies were performed 4-6 weeks after t-PDT. The clinical response was evaluated using Response Evaluation Criteria in Solid Tumors.
Complete response (CR) was achieved in six of eight cases, and two cases showed partial response (PR) as a clinical outcome of t-PDT. Recurrence occurred in one of the CR cases 9 months after irradiation. The patient underwent tumor resection and no recurrence was found after surgery. The two cases with PR died from the cancer despite additional PDT.
t-PDT is an effective treatment strategy for oral SCC. Talaporfin sodium has an advantage with regard to early elimination from the body compared with porfimer sodium.
评估二氢卟吩 e6(talaporfin sodium)介导的光动力疗法(PDT)对口腔鳞状细胞癌(SCC)的疗效。
本研究纳入了 8 例无转移的口腔 SCC 患者,均接受了二氢卟吩 e6 介导的 PDT(t-PDT)。t-PDT 后 4-6 周进行活检。采用实体瘤反应评价标准(Response Evaluation Criteria in Solid Tumors)评估临床反应。
8 例患者中,6 例达到完全缓解(CR),2 例为部分缓解(PR)。CR 病例中有 1 例在照射后 9 个月复发,该患者接受了肿瘤切除术,术后未发现复发。2 例 PR 患者尽管接受了额外的 PDT,但仍死于癌症。
t-PDT 是口腔 SCC 的有效治疗策略。与血卟啉衍生物相比,二氢卟吩 e6 具有早期从体内清除的优势。