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Spectroscopic study of methylene blue in vivo: effects on tissue oxygenation and tumor metabolism 亚甲基蓝在体内的光谱研究:对组织氧合和肿瘤代谢的影响
Q3 Medicine Pub Date : 2023-05-09 DOI: 10.24931/2413-9432-2023-12-1-4-13
D. Pominova, A. V. Ryabova, A. Skobeltsin, I. Markova, I. Romanishkin, V. Loschenov
Methylene blue (MB) is a promising photosensitizer (PS) for the treatment of pathological neoplasms, since it has both photodynamic activity (under laser irradiation) and redox and catalytic properties (in the absence of light). In the framework of this work, using spectroscopic methods, the effect of intravenous administration of MB on tissue oxygenation of hemoglobin in small animals in vivo in tumor and normal tissues was analyzed. The influence of MB on cell metabolism was analyzed. It has been shown that the use of MB promotes an increase in oxygen consumption by the tumor, and also leads to a shift in metabolism towards oxidative phosphorylation. It was shown that the use of MB contributes to an increase in oxygen consumption by the tumor, and also leads to a shift in metabolism towards oxidative phosphorylation.
亚甲基蓝(MB)是一种很有前途的光敏剂(PS),用于治疗病理性肿瘤,因为它具有光动力学活性(在激光照射下)和氧化还原和催化特性(在没有光的情况下)。在本工作的框架下,采用光谱学方法,分析了静脉给药MB对小动物体内肿瘤组织和正常组织血红蛋白组织氧合的影响。分析了MB对细胞代谢的影响。研究表明,MB的使用促进了肿瘤耗氧量的增加,也导致了代谢向氧化磷酸化的转变。研究表明,MB的使用有助于肿瘤耗氧量的增加,并导致代谢向氧化磷酸化的转变。
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引用次数: 0
Photodynamic therapy of psoriasis 银屑病的光动力疗法
Q3 Medicine Pub Date : 2023-05-09 DOI: 10.24931/2413-9432-2023-12-1-28-36.
E. Filonenko, V. Ivanova-Radkevich
Photodynamic therapy (PDT) in the treatment of psoriasis remains the subject of much debate. There is no consensus in the scientific community about effective and safe PDT regimens for psoriasis. Described in the published materials doses and concentrations of photosensitizers for psoriasis, as well as light doses, differ by dozens of times. The purpose of this review is to analyze the efficacy and safety profile of various PDT regimens for psoriasis. Some studies demonstrate 100% effectiveness of the method in certain modes (complete or partial clearance of psoriasis foci after PDT). In particular, such efficiency was obtained with the application of 20% 5-ALA (light dose 15 J/cm2) and 0.1% methylene blue (light dose 15 J/ cm2). The main factor limiting the use of PDT in psoriasis, and in some cases even being the reason for treatment interruption, is severe pain during the irradiation procedure. This requires careful development of PDT regimens in patients with psoriasis.
光动力疗法(PDT)治疗牛皮癣仍然是一个有很多争论的主题。科学界对于有效和安全的PDT治疗牛皮癣的方案还没有达成共识。在已发表的材料中描述的银屑病光敏剂的剂量和浓度以及光剂量相差数十倍。本综述的目的是分析各种PDT治疗银屑病的疗效和安全性。一些研究表明,该方法在某些模式下(PDT后完全或部分清除牛皮癣灶)的有效性为100%。特别是在20% 5-ALA(光剂量15 J/cm2)和0.1%亚甲基蓝(光剂量15 J/cm2)的应用下,获得了这样的效率。限制PDT在银屑病中使用的主要因素,在某些情况下甚至是治疗中断的原因,是照射过程中的严重疼痛。这就需要在银屑病患者中仔细制定PDT方案。
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引用次数: 1
Effectiveness of katuk leaf chlorophyll (Sauropus androgynus (L) Merr) with blue and red laser a ctivation to reduce Aggregatibacter actinomycetemcomitans and Enterococcus faecalis biofilm 蓝色和红色激光激活卡图克叶片叶绿素(Sauropus androgynus (L) Merr)对减少聚集菌放线菌和粪肠球菌生物膜的效果
Q3 Medicine Pub Date : 2023-05-09 DOI: 10.24931/2413-9432-2023-12-1-14-21
P. Permatasari, S. D. Astuti, A. K. Yaqubi, E. A. W. Paisei, .. Pujiyanto, Nasrul Anuar
In this study, the efficacy of using Sauropus androgynus (L) Merr, a katuk leaf chlorophyll photosensitizer, to reduce Aggregatibacter actinomycetemcomitans and Enterococcus faecalis biofilm was investigated. A red and blue diode laser is used as the light source. The sample was split into four groups: a negative control group, a positive control group, a blue laser treatment group (B), and a red laser treatment group (R), both with and without the addition of katuk leaf chlorophyll 1.6 mg/ml, and with varying densities of laser energy exposure of 2.5 J/cm2, 5 J/cm2, 7.5 J/cm2, and 10 J/cm2. Laser exposure and chlorophyll photosensitizer were tested using ELISA and ANOVA. At an energy density of 10 J/cm2, the optimal bacterial mortality rate was obtained in each treatment group. Namely, in the Aggregatibacter actinomycetemcomitans biofilm, the negative group, the number of deaths was 73.30% using a blue diode laser and 63.25% using a red diode laser. In the positive group, the number of deaths was 86.12% using a blue diode laser and 83.29% using a red diode laser. In the Enterococcus faecalis biofilm, in the negative group, the number of deaths was 67.78% using the blue diode laser and 75.33% using the red diode laser, and in the positive group, the number of deaths was 71.71% using the blue diode laser and 86.41 using a red diode laser. Exposure to blue and red diode lasers activates chlorophyll in katuk leaves, killing bacteria and reducing biofilms.
本研究考察了雌雄同体索罗pus (L) Merr(一种卡图克叶片叶绿素光敏剂)对聚集菌放线菌和粪肠球菌生物膜的抑制作用。采用红蓝二极管激光器作为光源。将样品分为4组:阴性对照组、阳性对照组、蓝色激光处理组(B)和红色激光处理组(R),分别添加和不添加1.6 mg/ml的木参叶叶绿素,激光能量暴露密度分别为2.5 J/cm2、5 J/cm2、7.5 J/cm2和10 J/cm2。采用ELISA和方差分析对激光照射和叶绿素光敏剂进行检测。在能量密度为10 J/cm2时,各处理组细菌死亡率最佳。即在放线菌聚集菌生物膜阴性组中,蓝色二极管激光的死亡率为73.30%,红色二极管激光的死亡率为63.25%。在阳性组中,蓝色二极管激光的死亡率为86.12%,红色二极管激光的死亡率为83.29%。在粪肠球菌生物膜中,阴性组蓝色二极管激光死亡率为67.78%,红色二极管激光死亡率为75.33%,阳性组蓝色二极管激光死亡率为71.71%,红色二极管激光死亡率为86.41%。暴露在蓝色和红色二极管激光下会激活卡图克树叶中的叶绿素,杀死细菌并减少生物膜。
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引用次数: 0
The bactericidal effects of 632.8 nm He-Ne laser on Staphylococcus aureus colonies 632.8 nm He-Ne激光对金黄色葡萄球菌菌落的杀菌作用
Q3 Medicine Pub Date : 2023-05-09 DOI: 10.24931/2413-9432-2023-12-1-22-27
W. H. Salih, S. H. Hassan
The bactericidal effect of 632.8 nm low level laser has been studied in order to point out both the effective power and laser exposure time on Staphylococcus aureus, which is reported to be involved in several dermatology problems. Low level laser has been reported to be useful for infected wounds, tissue necrosis, nerve injury, osteoarthritis or other chronic pain syndromes. Numerous studies have been conducted to quantify the effective laser parameters, i.e. dose, power, and exposure time, which ultimately leads toward clinical implementation. Staphylococcus aureus bacteria colonies were exposed to laser doses with powers of both 1 and 3 mW at different exposure times varies between 3 to 30 minutes. The bacterial colonies were isolated from a patient with inflamed wounds. Two sets of bacterial colonies were prepared to be exposed to laser beam. Next, the bacterial colonies were compared before and after exposing them to laser doses. The results showed that laser sessions have reduced the number of the bacterial colonies for both doses; 1 and 3 mw at the different exposure times and concentrations. The results revealed significant dose dependent bactericidal effects of He-Ne laser on Staphylococcus aureus at 3 mW for 30 minutes, which was found to be more effective in reducing the amount of bacteria to the less than 2% of its initial count. The results exhibited the reduction of the number of colonies as a function of exposure time. Appropriate doses of 632.8 nm can kill Staphylococcus aureus, suggesting that a similar effect may be used in clinical cases of bacterial infection.
本文研究了632.8 nm低能级激光对金黄色葡萄球菌的杀灭效果,以指出激光的有效功率和照射时间对金黄色葡萄球菌的杀灭效果。据报道,低水平激光可用于感染伤口、组织坏死、神经损伤、骨关节炎或其他慢性疼痛综合征。已经进行了大量的研究来量化有效的激光参数,即剂量,功率和照射时间,最终导致临床实施。将金黄色葡萄球菌菌落暴露在功率为1和3mw的激光剂量下,暴露时间从3到30分钟不等。细菌菌落是从一个伤口发炎的病人身上分离出来的。制备了两组细菌菌落,并将其暴露于激光束下。接下来,将细菌菌落暴露于激光剂量之前和之后进行比较。结果表明,两种剂量的激光治疗都减少了细菌菌落的数量;在不同的暴露时间和浓度下的1和3毫瓦。结果表明,He-Ne激光对金黄色葡萄球菌的杀菌效果具有明显的剂量依赖性,在3 mW下持续30分钟,将细菌数量减少到其初始数量的2%以下更为有效。结果表明,菌落数量随暴露时间的增加而减少。适当剂量的632.8 nm可以杀死金黄色葡萄球菌,这表明在细菌感染的临床病例中可能有类似的效果。
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引用次数: 0
Fluorescent diagnostics of non-melanoma skin cancer 非黑色素瘤皮肤癌的荧光诊断
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.24931/2413-9432-2022-11-4-32-40
E. Filonenko, V. Ivanova-Radkevich
Fluorescent diagnostics is a promising method for diagnosing non-melanocytic skin tumors, which makes it possible to identify clinically undetectable skin cancer foci and clarify the margin of the tumor lesion. The main drugs for ‹uorescent diagnostics are drugs based on 5-aminolevulinic acid and its methyl ester. Sensitivity indicators of ‹uorescent diagnostics in basal cell, squamous cell carcinoma and extramammary Paget’s disease reach 79.0-100.0%, speci city – 55.6-100%. But the effectiveness of this method may be reduced due to hyperkeratinization, keratinization, and the presence of necrotic tissue on the surface of tumor foci. Comparative studies of the results of ‹uorescent diagnostics and histological mapping during tumor removal using Mohs micrographic surgery showed approximately equal results in the determining of the tumor edges by these methods, which indicates that safe and technically easily performed ‹uorescent diagnostics can serve as a good alternative to Mohs micrographic surgery, one of the most accurate, but rather labor-intensive and technically complex method for determining the margin of skin cancer foci.
荧光诊断是诊断非黑素细胞性皮肤肿瘤的一种很有前途的方法,它可以识别临床无法检测到的皮肤癌病灶,并明确肿瘤病变的边缘。荧光诊断的主要药物是基于5-氨基乙酰丙酸及其甲酯的药物。荧光诊断对基底细胞癌、鳞状细胞癌和乳腺外Paget病的敏感性指标为79.0 ~ 100.0%,特异性指标为55.5 ~ 100%。但由于角化过度、角化和肿瘤灶表面存在坏死组织,这种方法的有效性可能会降低。比较Mohs显微摄影术在肿瘤切除过程中的影像学诊断和组织学定位结果显示,这些方法在确定肿瘤边缘方面的结果大致相同,这表明安全且技术上易于执行的影像学诊断可以作为Mohs显微摄影术的一种很好的替代方法。但确定皮肤癌病灶边缘的方法相当劳动密集且技术复杂。
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引用次数: 1
Prediction of the effect of the photodynamic therapy on survival in patients with stage IV of pancreatic cancer 光动力治疗对IV期胰腺癌患者生存影响的预测
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.24931/2413-9432-2022-11-4-25-31
A. Tseimakh, S. Shtofin, V. Kurtukov, V. Teplukhin, Ia. N. Shoykhet, M. Tseimakh
The article presents the results of a study of survival after complex palliative treatment of patients with malignant tumors of the pancreas stage IV in two comparable groups of patients. The aim of the study is to determine the prognostic factors affecting survival in patients with stage IV pancreatic cancer who received local and systemic photodynamic therapy. In the main group, which consisted of 19 patients with histologically veried stage IV pancreatic maligant tumor, palliative treatment was performed using photodynamic therapy. In the comparison group, consisting of 28 patients with histologically veried malignant tumor of the pancreas stage IV, palliative treatment was performed without the use of photodynamic therapy. On the background of the use of local and systemic photodynamic therapy in the main group it was observed a statistically significant increase in life expectancy compared with the comparison group. The three-month survival of patients who received local and systemic photodynamic therapy is affected by the level of brinogen before treatment. The level of brinogen above 3.4 g/l makes it possible to predict a decrease in the probability of three-month survival after photodynamic therapy. Thus, complex treatment with the use of photodynamic therapy for stage IV malignant tumors of the pancreas can increase the survival rate of patients.
本文介绍了两组可比较的胰腺恶性肿瘤IV期患者复杂姑息治疗后生存率的研究结果。该研究的目的是确定影响接受局部和全身光动力治疗的IV期胰腺癌患者生存的预后因素。主组19例经组织学证实的IV期胰腺恶性肿瘤患者,采用光动力治疗进行姑息性治疗。对照组为28例经组织学证实的胰腺恶性肿瘤IV期患者,采用姑息治疗,不采用光动力治疗。在主要组使用局部和全身光动力疗法的背景下,与对照组相比,观察到预期寿命有统计学意义上的显着增加。接受局部和全身光动力治疗的患者的三个月生存率受治疗前brinogen水平的影响。高于3.4 g/l的brinogen水平可以预测光动力治疗后三个月生存率的降低。因此,结合光动力疗法对胰腺IV期恶性肿瘤进行综合治疗可提高患者的生存率。
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引用次数: 0
Photodynamic therapy treatment of oral cavity cancer in patients with comorbidities 光动力疗法治疗口腔癌合并症患者
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.24931/2413-9432-2022-11-4-19-24
Yury Panaseykin, V. Kapinus, E. Filonenko, V. Polkin, F. Sevrukov, P. Isaev, S. A. Ivanov, A. Kaprin
We report the experience of radical treatment by photodynamic therapy of patients with squamous cell carcinoma of oral cavity with serious side diseases. Completed treatment of two patients with serious side diseases (HIV infection with associated pulmonary hypertension of high degree and cardiac pathology) suffered from cancer of oral cavity. Extensive surgical treatment and/or aggressive course of chemoradiation therapy were not indicated to them due to concomitant pathology. Both patients were diagnosed with squamous cell carcinoma of oral cavity, with appropriate stage Ist. сT1N0M0. Patients received treatment by photodynamic therapy with chorine photosensitizer in dose 1 mg/kg. Options of photodynamic were: output power – 1.5W, power density – 0.31 W/cm2, light dose – 300 J/cm2. After one time session of photodynamic therapy, in both cases full response was diagnosed (according to RECIST 1.1). In one case the second session of photodynamic therapy was performed due to concomitant disease of oral cavity – multiply lesions of leukoplakia and after was diagnosed full remission of all lesions. Major adverse event was pain during the first 5-7 days after treatment, curable by painkillers. Follow-up (IQR) was 12 and 18 month respectively with no evidence of progression. It is available to avoid extensive surgical treatment and aggressive course of chemoradiation therapy (as an alternative) with the use of photodynamic therapy. Photodynamic therapy is minimally invasive method of radical treatment of localized squamous cell carcinoma of oral cavity with minimal adverse events, and could be especially relevant in patients with serious concomitant diseases.
我们报告用光动力疗法根治口腔鳞状细胞癌伴严重副反应的经验。完成治疗2例严重副病(HIV感染伴高度肺动脉高压及心脏病理)口腔癌患者。由于伴随的病理,他们不需要广泛的手术治疗和/或积极的放化疗。两例患者均诊断为口腔鳞状细胞癌,分期ⅰ期。сT1N0M0。采用氯光敏剂1 mg/kg的剂量进行光动力治疗。光动力学选项为:输出功率- 1.5W,功率密度- 0.31 W/cm2,光剂量- 300 J/cm2。在一次光动力治疗后,两例均被诊断为完全缓解(根据RECIST 1.1)。在一个病例中,由于伴随口腔疾病-多发性白斑病变,在诊断所有病变完全缓解后,进行了第二次光动力治疗。主要不良事件为治疗后5-7天疼痛,可通过止痛药治愈。随访(IQR)分别为12个月和18个月,无进展迹象。它可以避免广泛的手术治疗和积极的放化疗过程(作为替代),使用光动力疗法。光动力疗法是一种微创的根治性治疗口腔局部鳞状细胞癌的方法,其不良反应最小,尤其适用于伴有严重并发症的患者。
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引用次数: 2
Development of a method for assessing the depth of penetration of ethosomes with methylene blue into the skin during application and photodynamic exposure 一种评估应用和光动力暴露过程中亚甲基蓝乙醇体穿透皮肤深度的方法的开发
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.24931/2413-9432-2022-11-4-11-18
A. G. Loginova, I. S. Nikitenko, G. Tikhonovsky, A. S. Skobeltsin, A. Voitova, V. Loschenov
A wide range of literature sources report on the potential benefits of transdermal drug delivery. Among these advantages, the following are distinguished – minimal injury, reduction of side effects, and prevention of degradation or metabolism in the gastrointestinal tract or liver. However, transdermal delivery of most molecules often excludes due to the barrier function of the skin, which prevents the penetration of exogenous substances. To overcome this barrier and increase skin absorption, ethosomal complexes use, by means penetration into the deep layers of the skin and/or systemic circulation is possible. This work devotes to the development of a non-invasive method for assessing the depth of penetration by ethosomes with methylene blue (MB) into the skin during application and photodynamic exposure. MB as photosensitizer (PS) was chosen, since there are a sufficient number of publications on its positive effect on the restoration of the cell’s respiratory chain of various organs and therefore the restoration of their metabolism. Besides MB has proven to be an effective PS, destructed pathogenic microbes and viruses, including SARS-CoV-2. However, for more effective Covid-19 therapy and antibiotic-resistant microbial diseases, the penetration of MB into the vascular system of the epidermis or mucous tissue is required. Nowadays, the existing methods for assessing the penetration depth of PS are time consuming and require the use of animal skin or model samples. The LESA-01 BIOSPEC system with specially designed optical adapters that allow assessing the drug fluorescence intensity on skin surface and at a depth of up to 2 mm in the investigation was used.
广泛的文献来源报道了透皮给药的潜在益处。在这些优势中,以下是显著的——最小的损伤,减少副作用,防止胃肠道或肝脏的降解或代谢。然而,由于皮肤的屏障功能,大多数分子的透皮递送通常被排除在外,这阻止了外源物质的渗透。为了克服这一障碍并增加皮肤吸收,可以通过渗透到皮肤深层和/或全身循环的方式使用醇体复合物。这项工作致力于开发一种非侵入性方法,用于评估使用亚甲基蓝(MB)的乙醇体在应用和光动力暴露过程中对皮肤的穿透深度。选择MB作为光敏剂(PS),因为有足够数量的出版物表明它对各种器官的细胞呼吸链的恢复以及对其代谢的恢复具有积极作用。此外,MB已被证明是一种有效的PS,可破坏致病微生物和病毒,包括严重急性呼吸系统综合征冠状病毒2型。然而,为了更有效的新冠肺炎治疗和抗生素耐药性微生物疾病,需要将MB渗透到表皮或粘膜组织的血管系统中。如今,现有的评估PS渗透深度的方法是耗时的,并且需要使用动物皮肤或模型样本。在研究中,使用了LESA-01 BIOSPEC系统,该系统具有专门设计的光学适配器,可以评估皮肤表面和2 mm深度处的药物荧光强度。
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引用次数: 0
Effectiveness of purple led for inactivation of Bacillus subtilis and Escherichia coli bacteria in in vitro sterilizers 紫外led灭活枯草芽孢杆菌和大肠杆菌的效果
Q3 Medicine Pub Date : 2023-01-30 DOI: 10.24931/2413-9432-2022-11-4-4-10
A. K. Yaqubi, S. D. Astuti, P. Permatasari, N. Komariyah, E. Endarko, A. Zaidan
Bacteria are inactivated using a technique called photodynamic inactivation, which combines light with a photosensitizer with the right spectrum. The objective of this study is to ascertain the e­ciency of purple LEDs for photoinactivating Bacillus subtilis and Escherichia coli bacteria as well as the ideal purple LED exposure energy density. This study technique involves exposing bacteria to purple LED radiation. Two elements of variation are used during irradiation. The first variation is the illumination variation at distances of 3 cm, 6 cm, 9 cm, and 12 cm. The second variation involves changing the amount of radiation for 30, 60, 90, and 120 minutes. The Total Plate Count (TPC) method was used to count the number of colonies. Statistical tests were utilized in data analysis, namely the One Way Anova test (analysis of variance). The results of this study indicated that 395 nm purple LED irradiation caused a decrease in Log CFU/mL of Bacillus subtilis and Escherichia coli bacteria. Inactivation of Bacillus subtilis bacteria showed a higher mortality percentage than Escherichia coli bacteria. Changes in other irradiation distances also showed a higher percentage of death for Bacillus subtilis bacteria than Escherichia coli bacteria. The highest percentage of death was 98.5% for Bacillus subtilis bacteria and 94.3% for Escherichia coli bacteria at position C with an irradiation distance of 3 cm and an energy density of 524 J/cm2 with an LED exposure time of 120 minutes. This shows that the percentage of death of bacteria Bacillus subtilis and Escherichia coli increased with increasing doses of LED energy with the greatest percentage of death in Gram-positive bacteria Bacillus subtilis.
细菌的灭活使用一种称为光动力灭活的技术,该技术将光与具有正确光谱的光敏剂结合在一起。本研究的目的是确定紫色LED光灭枯草芽孢杆菌和大肠杆菌的效率以及理想的紫色LED照射能量密度。这项研究技术包括将细菌暴露在紫色LED辐射下。辐照过程中使用了两个变量。第一个变化是距离为3厘米、6厘米、9厘米和12厘米处的光照变化。第二种变化包括在30、60、90和120分钟内改变辐射量。采用总平板计数法(Total Plate Count, TPC)对菌落进行计数。数据分析采用统计检验,即One Way Anova检验(方差分析)。本研究结果表明,395 nm紫色LED照射可使枯草芽孢杆菌和大肠杆菌的Log CFU/mL减少。枯草芽孢杆菌的失活死亡率高于大肠杆菌。其他照射距离的变化也表明枯草芽孢杆菌的死亡率高于大肠杆菌。当LED照射时间为120分钟,照射距离为3 cm,能量密度为524 J/cm2时,C位置枯草芽孢杆菌和大肠杆菌的死亡率最高,分别为98.5%和94.3%。这表明枯草芽孢杆菌和大肠杆菌的死亡率随着LED能量剂量的增加而增加,其中革兰氏阳性细菌枯草芽孢杆菌的死亡率最高。
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引用次数: 1
Modern aspects of photodynamic therapy of basal cell skin cancer 基底细胞皮肤癌的光动力治疗的现代方面
Q3 Medicine Pub Date : 2022-11-15 DOI: 10.24931/2413-9432-2022-11-3-35-39
I. Reshetov, S. Korenev, Y. Romanko
Photodynamic therapy (PDT) is one of the most effective treatments for basal cell skin cancer (BCC). As the incidence rate of BCC is increasing worldwide, interest in developing new methods for diagnosing and treating this disease, taking into account long-term cosmetic results, is growing. The review article presents the results of domestic and foreign studies on the treatment of BCC with PDT. The presented results of studies from various domestic and foreign clinics indicate the high efficiency of independent PDT and a combination of PDT with other treatment methods. PDT is proposed to be used in combination with surgical methods and radiation therapy, immunomodulating and chemotherapeutic agents, and inhibitors of molecules involved in the carcinogenic process. These new strategies open the way to increasing the effectiveness of treatment and prevention of BCC. Moreover, in all studies, the safety of this non-invasive treatment, a low level of adverse reactions during therapy, good tolerance for the patient and excellent cosmetic treatment results are noted. The guidelines currently being developed in Europe and the United States provide consistent expert advice that reflects current published evidence of treatment outcomes for BCC using PDT. Moreover, the recommendations emphasize that the treatment plan for patients with “difficult to treat” BCC should be discussed at an interdisciplinary oncological council.
光动力疗法(PDT)是治疗基底细胞皮肤癌(BCC)最有效的方法之一。随着BCC的发病率在世界范围内的增加,人们对开发诊断和治疗这种疾病的新方法,并考虑到长期的美容效果的兴趣正在增长。本文综述了PDT治疗BCC的国内外研究成果。目前国内外各诊所的研究结果表明,PDT独立治疗和PDT与其他治疗方法联合治疗的效率很高。建议将PDT与手术方法、放射治疗、免疫调节剂和化疗药物以及参与致癌过程的分子抑制剂联合使用。这些新战略为提高治疗和预防基底细胞癌的有效性开辟了道路。此外,在所有的研究中,这种非侵入性治疗的安全性,治疗期间的不良反应水平低,对患者的耐受性好,美容治疗效果好。目前在欧洲和美国制定的指南提供了一致的专家建议,反映了目前公布的使用PDT治疗BCC结果的证据。此外,建议强调“难以治疗”的BCC患者的治疗方案应在跨学科肿瘤学委员会上进行讨论。
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引用次数: 3
期刊
Biomedical Photonics
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