Photodynamic therapy of esophageal carcinoma

Photodynamic therapy (PDT) utilizing either hematoporphyrin derivative or Photofrin II is proving to be an effective modality in the treatment of early superficial (ES) or advanced invasive (AI) carcinoma of the esophagus. An argon-pumped dye laser was used to deliver 630 nm light via quartz fibers...

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Veröffentlicht in:Surgical endoscopy 1990-10, Vol.4 (3), p.150-153
Hauptverfasser: OKUNAKA, T, KATO, H, CONAKA, C, YAMAMOTO, H, BONAMINIO, A, ECKHAUSER, M. L
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container_end_page 153
container_issue 3
container_start_page 150
container_title Surgical endoscopy
container_volume 4
creator OKUNAKA, T
KATO, H
CONAKA, C
YAMAMOTO, H
BONAMINIO, A
ECKHAUSER, M. L
description Photodynamic therapy (PDT) utilizing either hematoporphyrin derivative or Photofrin II is proving to be an effective modality in the treatment of early superficial (ES) or advanced invasive (AI) carcinoma of the esophagus. An argon-pumped dye laser was used to deliver 630 nm light via quartz fibers passed through the biopsy channel of a gastroscope after intravenous injection of photosensitizer. Between 1982 and 1989, 20 patients (ES = 6; AI = 14) were treated in this manner. Complete remission was obtained in 4 of 6 ES cases, and the mean survival after PDT alone or in combination with other therapy was 27 months. Five patients remain alive to date. In the AI group, significant remissions were obtained in 6 cases while partial remissions were observed in another 8. The mean dysphagia grade improved from 4.0 to 2.8. We conclude that PDT is efficacious in the treatment of ES esophageal cancer, where complete remission may be achieved, and as palliative therapy in advanced cases to alleviate dysphagia.
doi_str_mv 10.1007/bf02336594
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Esophageal Neoplasms - drug therapy
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophagus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gastroscopy
Humans
Lasers
Male
Medical sciences
Middle Aged
Photochemotherapy - methods
Survival Rate
Tumors
title Photodynamic therapy of esophageal carcinoma
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