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光动力疗法与纳米医学:口腔鳞状细胞癌的当前知识、局限性及应用:一篇叙述性综述

Photodynamic therapy and nanomedicine: current knowledge, limitations, and applications in oral squamous cell carcinoma: a narrative review.

作者信息

Esperouz Fariba, Lorusso Mauro, Santarelli Andrea, De Lillo Alfredo, Lo Muzio Lorenzo, Ciavarella Domenico, Lo Russo Lucio

机构信息

Department of Clinical and Experimental Sciences, University of Foggia, Foggia, Italy.

Department of Clinic Specialistic and Stomatological Sciences, Polytechnic University of Marche, Ancona, Italy.

出版信息

Front Oncol. 2025 Jun 16;15:1619560. doi: 10.3389/fonc.2025.1619560. eCollection 2025.

Abstract

Oral squamous cell carcinoma is still a global health issue, even if oral cavity is an easily accessible anatomical site, the diagnosis is still delayed. Conventional treatments, like chemotherapy and radiotherapy, are usually employed, but not without complications. These drawbacks have necessitated the need for new therapies, one of these is photodynamic therapy (PDT). Nanotechnologies-enhanced PDT has significantly improved tumor targeting, bioavailability, and light absorption, paving the way for its application in early-stage of oral squamous cell carcinoma (OSCC) and as part of combination therapies for advanced cases. Despite the potential advantages of PDT, such as tumor selectivity, minimization of systemic side effects and repeatability of treatment, some limitations still restrict its clinical application. Despite these challenges, its application in oral squamous cell carcinoma and oral potentially malignant disease is promising, both alone or in combination with other therapies. Addressing such pros and cons of this technique, PDT may then be a possible adjuvant tool in the management of OSCC.

摘要

口腔鳞状细胞癌仍然是一个全球性的健康问题,即使口腔是一个易于检查的解剖部位,诊断仍会延迟。通常采用化疗和放疗等传统治疗方法,但并非没有并发症。这些缺点使得有必要寻求新的治疗方法,其中之一就是光动力疗法(PDT)。纳米技术增强的光动力疗法显著改善了肿瘤靶向性、生物利用度和光吸收,为其在口腔鳞状细胞癌(OSCC)早期的应用以及作为晚期病例联合治疗的一部分铺平了道路。尽管光动力疗法具有潜在优势,如肿瘤选择性、全身副作用最小化和治疗可重复性,但一些局限性仍然限制了其临床应用。尽管存在这些挑战,其在口腔鳞状细胞癌和口腔潜在恶性疾病中的应用前景广阔,无论是单独使用还是与其他疗法联合使用。针对该技术的这些优缺点,光动力疗法可能成为口腔鳞状细胞癌治疗中一种可能的辅助工具。

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