Efficiency of photodynamic therapy with intralesional photosensitizer for skin basal-cell carcinoma

«Radiation and Risk», 2014, vol. 23, No. 2, pp.37-44

Authors

Matveeva O.V.1 – Assistant Prof., C. Sc., Med., Sechenov First Moscow State Medical University. Contacts: 8/2 Trubetskaya St., Moscow, Russia, 119991. Tel.: +79262062443; e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. .
Sukhova T.E.2 – Senior Researcher, MD, Vladimirskii Moscow Oblast Clinical and Research Institute.

Abstract

The purpose of the study is to estimate efficiency of photodynamic therapy (PDT) with intralesional photosensitizer Radachlorine for different clinical types and histological forms of skin basal-cell carcinoma (BCC). Photodynamic therapy with intralesional photosensitizer Radachlorine was used to treat primary and recurrent clinical forms of Т1-2N0M0 BCC with solitary and multiple lesions of different histological types. We estimated efficiency of primary treatment outcome using clinical and histological data in 3 months, secondary outcome – in 12 months after the treatment. Delayed disease-free period was estimated annually during 5 years. Difference between early and delayed treatment outcomes regardless clinical and histological forms of the disease was not significant. In five years after the treatment disease free status was in 97,7% of patients under study, a recurrence of the disease was found in 1 patient (2,3%) with primary stage Т2N0M0, ulcer-like lesion of solid adenoid histological type on the nose wing. Results of the study allow us to conclude that photodynamic therapy with intralesional photosensitizer Radachlorine is effective treatment modality for all forms and histological types of skin basal-cell carcinoma. We recommend that the study of medical application of PDT be continued.

Key words
Basal-cell carcinoma, photodynamic therapy, intralesional photosensitizer, «Radachlorin», laser radiation, local tumor irradiation, selective treatment of tumor.

References

1. Kaplan M.A., Kapinus V.N., Popuchiev V.V., Romanko Yu.S., Yaroslavtseva-Isaeva E.V., Spichenkova I.S., Shubina A.M., Borgul' O.V., Goranskaia E.V. Fotodinamicheskaia terapiia: rezul'taty i perspektivy [Photodynamic therapy: results and prospects]. Radiatsiia i risk – Radiation and Risk, 2013, vol. 22, no. 3, pp. 115-123.

2. Kaplan M.A., Nikitina R.G., Romanko Yu.S., Bozadzhiev L.L., Malygina A.I., Drozhzhina V.V. Fotodinamicheskaia terapiia sarkomy M-1 u eksperimental'nykh zhivotnykh [Photodynamic therapy for sarcoma M-1 in animal models]. Lazernaia meditsina – Laser Medicine, 1998, vol. 2, no. 2-3, pp. 38-42.

3. Kaplan M.A., Ponomarev G.V., Baum R.F., Romanko Yu.S., Mardynskaia V.P., Malygina A.I. Izuchenie spetsificheskoi fotodinamicheskoi aktivnosti fotoditazina pri fotodinamicheskoi terapii sarkomy M-1 u krys [Study of specific activity of photodiazine for photodynamic therapy of sarcoma M-1 in rats]. Rossiiskii bioterapevticheskii zhurnal – Russian Biotherapeutical Journal, 2003, vol. 2, no. 4, pp. 23-30.

4. Kaplan M.A., Romanko Yu.S., Mardynskaya V.P., Malygina A.I., Burmistrova N.V., Yaroslavtseva-Isaeva E.V., Spichenkova I.V. Razrabotka metoda fotodinamicheskoi terapii s Fotoditazinom u eksperimental'nykh zhivotnykh s sarkomoi M-1 [Development of technique of photodynamic therapy with photodiazin for sarcoma M-1 in model animals]. Rossiiskii bioterapevticheskii zhurnal – Russian Biotherapeutical Journal, 2004, vol. 3, no. 2, p. 51.

5. Kaplan M.A., Romanko Yu.S., Popuchiev V.V., Yuzhakov V.V., Bandurko L.N., Mikhina L.N., Fomina N.K., Malygina A.I., Ingel' I.E. Vliyanie plotnosti svetovoi energii na protivoopukholevuyu effektivnost' fotodinamicheskoi terapii s fotoditazinom [Effect of light energy density on antitumor efficiency of pfotodynamic therapy with photodiazin]. Lazernaya meditsina – Laser Medicine, 2005, vol. 9, no. 2,
pp. 46-54.

6. Kaplan M.A., Romanko Yu.S., Popuchiev V.V., Yuzhakov V.V., Bandurko L.N., Fomina N.K., Mikhina L.N., Malygina A.I., Ingel' I.E. Deistvie fotodinamicheskoi terapii na rost i funktsional'nuyu morfologiyu sarkomy M-1 [Effect of photodynamic therapy on growth and functional morphology of sarcoma M-1]. Lazernaya meditsina – Laser Medicine, 2005, vol. 9, no. 4, pp. 41-47.

7. Kaplan M.A., Romanko Yu.S. Lazernaya fotodinamicheskaya terapiya (obzor, sostoyanie problemy i perspektivy) [Laser photodynamic therapy: review, current status of the problem and prospects]. Fizioterapiya, bal'neologiya i reabilitatsiya – Physiotherapy, Balneology and Rehabilitation, 2004, no. 1,
pp. 43-48.

8. Matveeva O.V. Fotodinamicheskaya terapiya bazal'nokletochnogo raka kozhi s lokal'nym primeneniem fotosensibilizatora. Diss. kand. med. nauk [Local photodynamic therapy withphotosensitizer. Cand. med. sci. diss.]. Moscow: Moskovskii oblastnoi nauchno-issledovatel'skii klinicheskii institut im. M.F. Vladimirskogo- Vladimirskii – Moscow Oblast Clinical and Research Institute, 2009. 91 p.

9. Molochkov V.A., Molochkov A.V., Sukhova T.E., Khlebnikova A.N., Kuntsevich Zh.S., Romanko Yu.S., Dibirova S.D., Bochkareva E.V. Mestnaya fotodinamicheskaya terapiya keratoakantomy [Local photodynamic therapy for keratocanthoma]. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei – Russian Journal of Cutaneous and Venereal Diseases, 2012, no. 4, pp. 21-24.

10. Molochkov V.A., Snarskaya E.S., Polyakov P.Yu., Afonin A.V., Sukhova T.E., Romanko Yu.S., Khlebnikova A.N., Taranets T.A., Koroleva L.P., Kladova A.Yu., Chelyukanova M.V., Kozlova E.S. K probleme lecheniya bazaliom kozhi [To the problem of treatment of skin basalioma]. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei – Russian Journal of Cutaneous and Venereal Diseases, 2005, no. 6, pp. 4-9.

11. Molochkov A.V., Sukhova T.E., Tret'yakova E.I., Akopova K.V., Koroleva L.P., Prokof'ev A.A., Rumyantsev S.A., Alieva P.M., Romanko Yu.S., Molochkov V.A. Sravnitel'nye rezul'taty effektivnosti lazeroindutsirovannoi termoterapii i fotodinamicheskoi terapii poverkhnostnoi i mikronodulyarnoi bazaliom [Comparative assessment of outcomes of thermotherapy and photodynamic therapy for superficial and micronodular types of basalioma]. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei – Russian Journal of Cutaneous and Venereal Diseases, 2012, no. 4, pp. 30-36.

12. Romanko Yu.S. Fotodinamicheskaya terapiya bazal'nokletochnogo raka kozhi (eksperimental'no-klinicheskoe issledovanie). Diss. dokt. med. nauk [Photodynamic therapy for squamous cell carcinoma of the skin. Dr. med. sci. diss.]. Obninsk, Meditsinskii radiologicheskii nauchnyi tsentr RAMN – Medical Radiological Research Center of RAMS, 2005. 204 p.

13. Romanko Yu.S., Kaplan M.A., Popuchiev V.V., Molochkov V.A., Sukhova T.E., Tret'yakova E.I., Taranets T.A. Bazal'nokletochnyi rak kozhi: problemy lecheniya i sovremennye aspekty fotodinamicheskoi terapii [Skin basal-cell carcinoma: problems of treatment and modern aspects of photodynamic therapy]. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei – Russian Journal of Cutaneous and Venereal Diseases, 2004, no. 6, pp. 6-10.

14. Romanko Yu.S., Kaplan M.A., Popuchiev V.V., Surova L.V., Epatova T.V. Fotodinamicheskaya terapiya revmatoidnogo artrita [Photodynamic therapy for rheumatoid arthritis]. Radiatsiya i risk – Radiation and Risk, 2014, vol. 23, no. 1, pp. 66-77.

15. Romanko Yu.S., Korenev S.V., Popuchiev V.V., Vaisbein I.Z., Sukhova T.E. Osnovy fotodinamicheskoi terapii [Basics of photodynamic therapy]. Kaliningrad, Strazh Baltiki Publ., 2010. 136 p.

16. Romanko Yu.S., Tsyb A.F., Kaplan M.A., Popuchiev V.V. Vliyanie fotodinamicheskoi terapii s fotoditazinom na morfofunktsional'nye kharakteristiki sarkomy M-1 [Effect of photodynamic therapy with photoditazine on morphofunctional parameters of M-1 sarcoma]. Byulleten' eksperimental'noi biologii i meditsiny – Bulletin of Experimental Biology and Medicine, 2004, vol. 138, no. 12, pp. 658-664.

17. Romanko Yu.S., Tsyb A.F., Kaplan M.A., Popuchiev V.V. Zavisimost' protivoopukholevoi effektivnosti fotodinamicheskoi terapii ot plotnosti svetovoi energii [Relationship between antitumor efficiency of photodynamic therapy with photoditasine and photoenergy density]. Byulleten' eksperimental'noi biologii i meditsiny – Bulletin of Experimental Biology and Medicine, 2005, vol. 139, no. 4, pp. 456-461.

18. Snarskaya E.S., Molochkov V.A. Bazalioma [Basalioma]. Moscow, Meditsina Publ., 2003. 136 p.

19. Sukhova T.E. Protivoopukholevoe deistvie fotodinamicheskoi terapii s fotosensibilizatorami khlorinovogo ryada v eksperimente i pri bazal'nokletochnom rake kozhi. Diss. dokt. med. nauk [Antitumor effect of photodynamic therapy with chlorine photosensitisers on skin basal-cell carcinoma: experimental and clinical study. Dr. med. sci. diss.]. Moscow: Moskovskii oblastnoi nauchno-issledovatel'skii klinicheskii institut im. M.F. Vladimirskogo – Vladimirskii Moscow Oblast Clinical and Research Institute, 2013. 227 p.

20. Tsyb A.F., Kaplan M.A., Molochkov V.A., Mironov A.F., Romanko Yu.S., Kapinus V.N., Sukhova T.E., Tret'yakova E.I. O primenenii fotodinamicheskoi terapii v lechenii solitarnykh i mnozhestvennykh bazaliom [On application of photodynamic therapy for treatment of solitary and multifocal basalioma]. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei – Russian Journal of Cutaneous and Venereal Diseases, 2000, no. 4, pp. 4-12.

21. Tsyb A.F., Kaplan M. A., Romanko Yu.S., Popuchiev V.V. Fotodinamicheskaya terapiya [Photodynamic therapy]. Moscow: MIA, 2009. 195 p.

22. Tsyb A.F., Kaplan M.A., Romanko Yu.S., Popuchiev V.V. Klinicheskie aspekty fotodinamicheskoi terapii [Clinical aspects of photodynamic therapy]. Kaluga, Izdatel'stvo nauchnoi literatury N.F. Bochkarevoi Publ., 2009. 204 p.

23. Yaroslavtseva-Isaeva E.V., Kaplan M.A., Romanko Yu.S., Sokol N.I. Razrabotka metodiki fotodinamicheskoi terapii eksperimental'noi opukholi (sarkoma M-1) pri lokal'nom vvedenii fotosensibilizatora [Method of photodynamic therapy of experimental tumor (sarcoma-M1) with local administration of photosensitizer]. Rossiiskii bioterapevticheskii zhurnal – Russian Biotherapeutic Journal, 2003, vol. 2, no. 4, pp. 19-22.

24. Romanko Yu.S., Tsyb A.F., Kaplan M.A., Popuchiev V.V. Effect of photodynamic therapy with photoditazine on morphofunctional parameters of M-1 sarcoma. Bulletin of Experimental Biology and Medicine, 2004, vol. 138, no. 6, pp. 584-589.

25. Romanko Yu.S., Tsyb A.F., Kaplan M.A., Popuchiev V.V. Relationship between antitumor efficiency of photodynamic therapy with photoditasine and photoenergy density. Bulletin of Experimental Biology and Medicine, 2005, vol. 139, no. 4, pp. 460-464.

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