Preview

Biomedical Photonics

Advanced search

Photodynamic therapy with photosensitizer photolon for oral leukoplakia

https://doi.org/10.24931/2413-9432-2016-5-2-13-20

Abstract

The objective – to assess tolerability, safety and immediate results of treatment of patients with oral leukoplakia using photodynamic therapy (PDT) with a photosensitizer photolon. The study included 40 patients (7 men, 33 women) with morphologically verified leukoplakia of the oral mucosa. The average age – 55±14 years. Number of treated foci – 109 (1 to 8). Photolon was administered intravenously at doses of 1.7-2.5 mg/kg. Photoirradiation («UPL PDT», Belarus, λ = 660±5 nm) was performed 2.5-3 h after administration: light exposure dose varied from 25 to 100 J/cm2, power density of 0.07 to 0.32 W/cm2, the duration of one field photoirradiation – from 2 to 13.5 min and according to its linear dimensions. The effectiveness of treatment was assessed 1-2 months after PDT by clinical data. Complete regression of foci recorded in 95% of cases (n=38), partial – in 5% (n=2).The follow-up period varied from 1 to 30 months. Full-epithelialization of the wound defect occurred within the period of 3-6 weeks after treatment. Photodynamic therapy may be recommended for patients with circumscribed or widespread oral leukoplakia as a simple, well-tolerated and effective option. Keywords: photodynamic therapy, photolon, oral leukoplakia.

About the Authors

Yu. P. Istomin
N.N. Alexandrov National Cancer Centre of Belarus
Belarus
Lesnoy


T. P. Artemyeva
N.N. Alexandrov National Cancer Centre of Belarus
Belarus
Lesnoy


D. A. Tzerkovsky
N.N. Alexandrov National Cancer Centre of Belarus
Belarus
Lesnoy


References

1. Van der Wall I. Oral leukoplakia, the ongoing discussion on definition and terminology, Med. Oral Patol. Oral Cir. Bucal., 2015, Vol. 20, No. 6, pp. 685-692.

2. Silverman S., Gorsky M., Lozada F. Oral leukoplakia and malignant transformation. A follow-up study of 257 patients, Cancer, 1984, Vol. 53, pp. 563-568.

3. Mashkilleison A.L. Predrak krasnoi kaimy gub i slizistoi obolochki rta [Pre-cancer of vermillion border and oral mucosa]. Moscow, Meditsina Publ., 1970. 280 p.

4. Chen H.M., Yu C.H., Tsai T., Hsu Y.C., Kuo R.C., Chiang C.P. Topical 5-aminolevulinic acid-mediated photodynamic therapy for oral verrucous hyperplasia, oral leukoplakia and oral erythroleukoplakia, Photodiagnosis Photodyn. Ther, 2007, Vol. 4, pp. 44-52.

5. Moskalik K.G., Kozlov A.P. Current state and opportunities for application of lasers in oncology, Vopr. onkol., 2006, Vol. 33, No. 2, pp. 3-11. (in Russian).

6. Sobaniec S., Bernaczyk P., Pietruski J.K., Cholewa M., Skurska A., Dolinska E., Duraj E., Tokajuk G., Paniczko A., Olszewska E. Clinical assessment of the efficacy of photodynamic therapy in the treatment of oral lichen planus, Lasers Med. Sci, 2013, Vol. 28, pp. 311-316.

7. Pietruska M., Sobaniec S., Bernaczyk P., Cholewa M., Pietruski J.K., Skurska A., Dolinska E., Duraj E., Tokajuk G. Clinical evaluation of photodynamic therapy efficacy in the treatment of oral leukoplakia, Photodiagnosis Photodyn. Ther., 2014, Vol. 11, No. 1, pp. 34-40.

8. Selvam N.P., Sadaksharam J., Singaravelu G., Ramu R. Treatment of oral leukoplakia with photodynamic therapy: a pilot study, J. Can. Res. Ther., 2015, Vol. 11, pp. 464-467.

9. Sieroń A., Adamek M., Kawczyk-Krupka A., Mazur S., Ilewicz L. Photodynamic therapy (PDT) using topically applied delta-aminolevulinic acid (ALA) for the treatment of oral leukoplakia, J. Oral Pathol. Med., 2003, Vol. 32, No. 6, pp. 330-336.

10. Chen H.M., Chen C.T., Yang H., Kuo M.Y., Kuo Y.S., Lan W.H., Wang Y.P., Tsuimin T., Chiang C.P. Successful treatment of oral verrucous hyperplasia with topical 5-aminolevulinic acid-mediated photodynamic therapy, Oral Oncol., 2004, Vol. 40, pp. 630-637. 11. Chen H.M., Yu C.H., Tu P.C., Yeh C.Y., Tsai T., Chiang C.P. Successful treatment of oral verrucous hyperplasia and oral leukoplakia with topical 5-aminolevulinic acid-mediated photodynamic therapy, Lasers Surg. Med., 2005, Vol. 37, pp. 114-122.

11. Aghahosseini F., Arbabi-Kalati F., Fashtami L.A., Djavid G.E., Fateh M., Beitollahi J.M. Methylene blue-mediated photodynamic therapy: a possible alternative treatment for oral lichen planus, Lasers Surg. Med., 2006, Vol. 38, pp. 33-38.

12. Jerjes W., Upile T., Hamdoon Z., Moose C.A., Akram S., Hopper C. Photodynamic therapy outcome for oral dysplasia, Lasers Surg. Med., 2011, Vol. 43, pp. 192-199.

13. Jajarm H.H., Falaki F., Sanatkhani M., Ahmadzadeh M., Ahrari F., Shafaee H. A comparative study of toluidine blue-mediated photodynamic therapy versus topical corticosteroids in the treatment of erosive-atrophic oral lichen planus: a randomized clinical controlled trial, Lasers Med. Sci., 2015, Vol. 30, No. 5, pp. 1475-1480.

14. Neiman O.I., Yas'kevich L.S., Istomin Yu.P., Chalov V.N. Photodynamic therapy with photolon for pre-cancer diseases of oropharyngeal mucosa: results of the treatment, Onkolog. Zhurn, 2010, Vol. 4, No. 4, pp. 77-80. (in Russian).


Review

For citations:


Istomin Yu.P., Artemyeva T.P., Tzerkovsky D.A. Photodynamic therapy with photosensitizer photolon for oral leukoplakia. Biomedical Photonics. 2016;5(2):13-20. https://doi.org/10.24931/2413-9432-2016-5-2-13-20

Views: 2115


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2413-9432 (Print)