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Photodynamic therapy in the treatment of extramammary paget’s disease 光动力疗法治疗乳腺外佩吉特病
Q3 Medicine Pub Date : 2022-11-15 DOI: 10.24931/2413-9432-2022-11-3-24-34
E. Filonenko, V. Ivanova-Radkevich
Extramammary Paget’s disease (EMPD) is a rare tumor that predominantly affects the skin containing apocrine glands. Due to insufficient data on the effectiveness of different methods, there is no single therapeutic approach to the treatment of patients with EMPD and their subsequent management. The use of surgical methods, laser therapy and local cytotoxic drugs has a number of limitations. The advantages of using photodynamic therapy (PDT) in EMPD are the absence of systemic toxicity, non-invasiveness, selectivity of action, the absence of carcinogenic potential, the possibility of conducting several courses of treatment, and good cosmetic results. In our review, we analyzed those published in 2000-2022 data on the results of PDT treatment of 114 patients with EMPD. As a result of treatment, complete regression of tumor foci was achieved in 40% of patients. Most authors note that PDT is more effective for small areas (up to 4 cm2).
乳腺外Paget病(EMPD)是一种罕见的肿瘤,主要影响含有顶泌腺的皮肤。由于缺乏关于不同方法有效性的数据,没有单一的治疗方法来治疗EMPD患者及其后续管理。手术方法、激光治疗和局部细胞毒性药物的使用有许多局限性。在EMPD中使用光动力疗法(PDT)的优点是没有全身毒性、非侵袭性、作用选择性、没有致癌潜力、可以进行几个疗程以及良好的美容效果。在我们的综述中,我们分析了2000-2022年发表的114名EMPD患者PDT治疗结果的数据。经过治疗,40%的患者肿瘤灶完全消退。大多数作者指出,PDT对小面积(最多4 cm2)更有效。
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引用次数: 5
Correlation of spectroscopic and structural properties of indocyanine green j-aggregates 吲哚菁绿j聚集体的光谱与结构特性的相关性
Q3 Medicine Pub Date : 2022-11-15 DOI: 10.24931/2413-9432-2022-11-3-4-16
D. Farrakhova, I. Romanishkin, D. Yakovlev, Yuliya Maklygina, V. Oleinikov, P. Fedotov, M. V. Kravchik, L. Bezdetnaya, V. Loschenov
Indocyanine green (ICG), when in free form in a liquid, can form stable nanoparticle structures or colloidal solution, while changing its spectroscopic properties. In the work, the aggregation degree and the average size of nanoparticles depending on the concentration of a colloidal solution of indocyanine green (ICG NPs) in the form of J-aggregates were investigated by various methods based on light scattering. The size of nanoparticles is an important parameter from the point of view of clinical application, because the technique of intravenous administration of drugs, in order to avoid microvascular thrombosis and embolism, provides dosage forms with inclusions of individual molecules or their clusters, not exceeding 500 nm diameter. In turn, small nanoparticles less than 30 nm lead to prolonged circulation of the drug in the body with an increased possibility of permeation into cells of healthy tissue. In the course of studies, it was found that an increase in the concentration of ICG NPs in the solution leads to an increase in the average size of spontaneously formed J-aggregates, which, in turn, leads to a decrease in the absorption coefficient in the aggregates. Presumably, this phenomenon, i.e. the established nonlinear dependence of the J-aggregate absorption on its size, can be explained by the formation of absorption centers on the J-aggregate surface in the form of mobile surface molecules. The threshold range of ICG molecule concentration was determined, at which there is a transition from aggregation with an increase in size with a slow addition of ICG J-aggregate molecules in height to a rapid addition in width.
吲哚菁绿(ICG)在液体中以自由形态存在时,可以形成稳定的纳米颗粒结构或胶体溶液,同时改变其光谱性质。在本研究中,采用基于光散射的各种方法研究了不同浓度的吲哚菁绿胶体溶液(ICG NPs)的j聚集体形式的聚集程度和纳米颗粒的平均尺寸。从临床应用的角度来看,纳米颗粒的大小是一个重要的参数,因为静脉给药技术为了避免微血管血栓形成和栓塞,提供了直径不超过500纳米的单个分子或其簇的包涵体的剂型。反过来,小于30纳米的小纳米颗粒延长了药物在体内的循环,增加了渗透到健康组织细胞的可能性。在研究过程中发现,溶液中ICG NPs浓度的增加导致自发形成的j -聚集体的平均尺寸增加,从而导致聚集体的吸收系数降低。据推测,这种现象,即j -聚集体吸收与其大小的非线性依赖关系,可以用j -聚集体表面上以可移动表面分子的形式形成的吸收中心来解释。确定了ICG分子浓度的阈值范围,在此阈值范围内,ICG j -聚集体分子的高度缓慢增加,聚集大小增加,而宽度迅速增加。
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引用次数: 0
Photodynamic therapy in a patient with hpv-associated lsil of the cervice (clinical case) 光动力疗法治疗一例hpv相关宫颈lsil患者(临床病例)
Q3 Medicine Pub Date : 2022-11-15 DOI: 10.24931/2413-9432-2022-11-3-40-44
E. Filonenko, N. I. Grigoryevykh, A. Kaprin
The article describes a clinical example of timely, safe and effective photodynamic therapy (PDT) in a patient diagnosed with human papillomavirus (HPV) CIN I-associated cervical cancer after ineffective vaccination with 4-valent Gardasil vaccine. Clinical case demonstrates the low effectiveness of HPV vaccination in patients with established HPV infection. In this patient, the lack of adequate treatment for about 1.5 years led to the development of HPV associated CIN I of the cervix. Center for Laser and Photodynamic Diagnostics and Therapy of Tumors and MRI P.A. Herzen, the patient underwent a course of antiviral PDT with the achievement of complete regression of dysplasia and complete eradication of HPV viruses. The patient tolerated the treatment well, without complications. The period of relapse-free follow-up is 19 months.
本文描述了一个及时、安全、有效的光动力治疗(PDT)的临床例子,在诊断为人乳头瘤病毒(HPV) CIN相关宫颈癌的患者接种4价Gardasil疫苗无效后。临床病例表明,HPV疫苗接种的有效性低,患者已确定HPV感染。在该患者中,缺乏适当的治疗约1.5年导致宫颈癌HPV相关CIN的发展。肿瘤激光和光动力诊断和治疗中心和MRI P.A. Herzen,患者接受了一个疗程的抗病毒PDT治疗,实现了发育不良的完全消退和HPV病毒的完全根除。病人对治疗耐受良好,无并发症。无复发随访期19个月。
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引用次数: 0
Photodynamic therapy of primary and recurrent forms of weakly pigment choroidal melanoma 光动力疗法治疗原发性和复发性弱色素性脉络膜黑色素瘤
Q3 Medicine Pub Date : 2022-11-15 DOI: 10.24931/2413-9432-2022-11-3-17-23
K. Zhyliayeva, P. Demeshko, L. V. Navumenka, S. Krasny, D. Tzerkovsky, I. Zherko
Treatment of poorly-pigmented tumors of small sizes can be carried out using photodynamic therapy (PDT). The material for the analysis was data on 112 patients. We used data from the Belarusian Cancer Registry, medical records of patients with clinically diagnosed choroid melanoma (C69.3 according to ICD-10) for the period 2013–2021. The size and level of blood flow in the tumors were assessed using an ultrasound machine with a doppler attachment. PDT was carried out using a «UPL PDT» semiconductor laser (Lemt, Republic of Belarus, λ=661 nm) with a light spot diameter of 1 to 3 mm for 60 s per field with a light dose of 50 J/cm2. The entire surface of the tumor was exposed to the action, with the fields “tiled”, from the periphery to the top of the tumor, with overlapping fields. Tumor pigmentation was assessed visually. To evaluate the treatment outcome, the general group of patients was divided into three subgroups according to thickness and basal diameter. Group I – 40 (35.7%) patients, with an average tumor thickness of 1.4±0.2 mm, basal diameter – 5.8±1.5 mm. II – 51 (45.5%) patients, with an average tumor thickness of 2.3 ± 0.3 mm, basal diameter – 7.9 ± 1.5 mm. III – 21 (18.8%) patients. The mean value of the tumor thickness was 3.8±0.4 mm, the basal diameter was 9.8±1.4 mm. After PDT in the general group (n=112), 29 (25.9%) patients had complete tumor resorption, and 83 (74.1%) patients had stabilization. The eyeball was saved in 107 (95.5%) patients. Continued growth and relapse were recorded in 34 patients: 25 (22.3%) and 9 (8.0%), respectively. In 29 (85.3%) patients, the eyeball was preserved after treatment of relapse and continued growth. 5 (4.5%) enucleations were performed. Adjusted one-year cumulative survival was 100%, 3-year and 5-year 95.8±2.4%, 93.7±3.1%, respectively
光动力疗法(PDT)可用于小尺寸的低色素肿瘤的治疗。分析的材料是112名患者的数据。我们使用了白俄罗斯癌症登记处的数据,即2013-2021年期间临床诊断为脉络膜黑色素瘤(ICD-10为C69.3)患者的医疗记录。使用带多普勒附件的超声机评估肿瘤内血流的大小和水平。PDT使用«UPL PDT»半导体激光器(Lemt,白俄罗斯共和国,λ=661 nm)进行,光斑直径为1至3 mm,光剂量为50 J/cm2,每场60 s。整个肿瘤表面暴露在作用下,视场“平铺”,从肿瘤外围到肿瘤顶部,有重叠的视场。目测肿瘤色素沉着。为了评价治疗效果,将普通组患者根据厚度和基底直径分为3个亚组。I组40例(35.7%),平均肿瘤厚度1.4±0.2 mm,基底直径- 5.8±1.5 mm。II - 51例(45.5%),平均肿瘤厚度2.3±0.3 mm,基底直径- 7.9±1.5 mm。III - 21例(18.8%)。肿瘤厚度平均值为3.8±0.4 mm,基底直径9.8±1.4 mm。普通组(n=112)经PDT后,29例(25.9%)患者肿瘤完全吸收,83例(74.1%)患者肿瘤稳定。保留眼球107例(95.5%)。34例患者持续生长和复发,分别为25例(22.3%)和9例(8.0%)。29例(85.3%)患者的眼球在治疗后复发并继续生长,得以保留。5例(4.5%)行眼球摘除术。调整后1年累积生存率为100%,3年95.8±2.4%,5年93.7±3.1%
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引用次数: 0
Study of acute toxicity of monocationic chlorin e6 derivative, a perspective photosensitizer for antimicrobial and antitumor photodynamic therapy 一种有前景的抗菌和抗肿瘤光动力光敏剂——单氯e6衍生物的急性毒性研究
Q3 Medicine Pub Date : 2022-07-27 DOI: 10.24931/2413-9432-2022-11-2-23-32
N. Y. Zhidomorov, O. A. Nazarenko, V. Demidov, A. Kustov, N. V. Kukushkina, O. Koifman, A. K. Gagua, I. Tomilova, D. B. Berezin
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引用次数: 3
Opportunities of using oral intraluminal laser lithotripsy for a large calculus of the common bile duct (clinical report) 口腔腔内激光碎石术治疗胆总管大结石的机会(临床报告)
Q3 Medicine Pub Date : 2022-07-27 DOI: 10.24931/2413-9432-2022-11-2-33-38
Y. Ivanov, D. Sazonov, A. Smirnov, A. Mamoshin, A. Baranov, D. N. Panchenkov
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引用次数: 0
Cancer cell survival model after photodynamic therapy 光动力治疗后癌细胞存活模型
Q3 Medicine Pub Date : 2022-07-26 DOI: 10.24931/2413-9432-2022-11-2-4-11
L. Karami-Gadallo, M. Pouladian
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引用次数: 1
Application of biophantomes to evaluate the thermal effects of laser radiation with wavelengths of 970 nm and 1560 nm under different exposure modes 生物膜在评估不同曝光模式下波长970nm和1560nm激光辐射热效应中的应用
Q3 Medicine Pub Date : 2022-07-26 DOI: 10.24931/2413-9432-2022-11-2-12-22
O. V. Ostreiko, M. Galkin, G. Papayan, T. Grishacheva, N. Petrishchev
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引用次数: 0
Photodynamic therapy in the treatment of patients with mycosis fungoides 光动力疗法治疗蕈样肉芽肿
Q3 Medicine Pub Date : 2022-05-25 DOI: 10.24931/2413-9432-2022-11-1-27-37
E. Filonenko, V. Ivanova-Radkevich
The review highlights the current understanding of the epidemiology, etiology, pathogenesis, existing classifications of mycosis fungoides. Methods for diagnosis and treatment of the pathology are described, among which photodynamic therapy (PDT) plays an important role. The main advantages of PDT for mycosis fungoides include the absence of systemic toxicity, non-invasiveness, selectivity, absence of carcinogenic potential, the possibility of repeated courses of treatment, and good cosmetic results. This review collects and analyzes the results of clinical trials of PDT in patients with mycosis fungoides. The analysis showed high efficiency of PDT in patients with mycosis fungoides with isolated or limited spots and plaques. PDT can be considered as the therapy of choice in patients with facial lesions when a good cosmetic result is one of the main requirements, and radiation therapy, nitrogen mustard or carmustine can leave permanent and visible scars. Plaques located in the axillary or inguinal skin folds that are inaccessible to phototherapy can also be treated with PDT.
本文综述了目前对蕈样真菌病的流行病学、病因学、发病机制和现有分类的认识。介绍了该病的诊断和治疗方法,其中光动力疗法(PDT)起着重要作用。PDT治疗蕈样真菌病的主要优点包括无全身毒性、无侵入性、选择性、无致癌潜力、重复疗程的可能性以及良好的美容效果。本综述收集并分析了PDT治疗蕈样真菌病的临床试验结果。分析表明PDT在真菌样真菌病中具有孤立或有限的斑点和斑块的患者中具有很高的效率。当良好的美容效果是主要要求之一时,面部病变患者可考虑选择PDT治疗,而放射治疗、氮芥或卡莫司定可留下永久可见的疤痕。位于腋窝或腹股沟皮肤褶皱的斑块,光疗无法达到,也可以用PDT治疗。
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引用次数: 5
Actinic keratosis (review of literature) 光化性角化病(文献回顾)
Q3 Medicine Pub Date : 2022-05-25 DOI: 10.24931/2413-9432-2022-11-1-37-48
E. Filonenko, S. S. Okushko
Actinic keratosis is an important medical and social problem, the correct diagnosis and treatment of which will help to avoid the development of invasive forms of cutaneous squamous cell carcinoma. With the further development of the early diagnosis of cancer, including skin cancer, the increase in human life expectancy, and the popularization of travel to exotic countries, the number of cases of actinic keratosis among the population will continue to grow. In this regard, it is important to discuss the causes and pathogenesis of the disease, the varied clinical picture of the disease, methods of non-invasive diagnostics, as well as methods of treatment, of which there are a great many in the treatment of actinic keratosis today. However, each of the methods has both advantages and disadvantages, and in the global trend towards a personalized approach to treatment, it is important to choose from the standpoint of evidence-based medicine the most suitable for each individual patient. Moreover, after treatment of actinic keratosis, relapses often occur, which are the result of insufficient diagnosis and the development of incorrect treatment tactics. The review article provides the clinical picture of actinic keratosis, diagnostic and therapeutic methods, and their comparison with each other in terms of efficacy and safety
光化性角化病是一个重要的医学和社会问题,正确的诊断和治疗将有助于避免皮肤鳞状细胞癌的侵袭性发展。随着癌症(包括皮肤癌)早期诊断的进一步发展,人类预期寿命的增加,以及到异国旅游的普及,人群中光化性角化病的病例数将继续增长。在这方面,重要的是要讨论疾病的病因和发病机制,疾病的各种临床表现,非侵入性诊断方法,以及治疗方法,其中有很大的光化性角化病今天的治疗方法。然而,每种方法都有优点和缺点,在个性化治疗的全球趋势下,从循证医学的角度选择最适合每个患者的方法是很重要的。此外,光化性角化病治疗后,往往会出现复发,这是诊断不充分和治疗策略不正确的结果。本文综述了光化性角化病的临床概况、诊断和治疗方法,并就其疗效和安全性进行了比较
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引用次数: 1
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Biomedical Photonics
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