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  • 刘至昱,史玉玲,顾俊瑛,等.5-氨基酮戊酸光动力疗法治疗头面部基底细胞癌的疗效观察[J].同济大学学报(医学版),2015,36(1):110-112, 116.    [点击复制]
  • LIU Zhi-yu,SHI Yu-ling,GU Jun-ying,et al.5-aminolevulinic acid mediated photodynamic therapy for craniofacial basal cell carcinoma[J].同济大学学报(医学版),2015,36(1):110-112, 116.   [点击复制]
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5-氨基酮戊酸光动力疗法治疗头面部基底细胞癌的疗效观察
刘至昱,史玉玲,顾俊瑛,高飞,许辉,龚瑜
0
(同济大学附属第十人民医院皮肤科,上海 200072)
摘要:
目的 探讨5-氨基酮戊酸光动力疗法(5-aminolevulinic acid mediated photodynamic therapy,ALA-PDT)治疗头面部基底细胞癌的临床疗效。方法 对25例头面部基底细胞癌患者进行ALA-PDT治疗,每周1次,共治疗5次。3个月内,每2周随访1次;3个月后,每个月随访1次。结果 经过5次ALA-PDT治疗后,25例患者中,18例完全缓解,4例部分缓解,3例无效果。浅表型基底细胞癌治疗效果最好,完全缓解率达90%。随访6~19个月,18例完全缓解患者中2例复发,复发率11.1%。结论 ALA-PDT是一种临床疗效好,复发率低,无创伤性的治疗头面部基底细胞癌的有效方法。
关键词:  基底细胞肿瘤  氨基酮戊酸  光动力疗法
DOI:10.16118/j.1008-0392.2015.01.024
投稿时间:2013-12-10
基金项目:上海市科委引导项目(134119b0500)
5-aminolevulinic acid mediated photodynamic therapy for craniofacial basal cell carcinoma
LIU Zhi-yu,SHI Yu-ling,GU Jun-ying,GAO Fei,XU Hui,GONG Yu
(Dept. of Dermatology, Tenth People's Hospital, Tongji University, Shanghai 200072, China)
Abstract:
Objective To evaluate the therapeutic effect of 5-aminolevulinic acid mediated photodynamic therapy (ALA-PDT) for craniofacial basal cell carcinoma. Methods Twenty-five patients with craniofacial basal cell carcinoma were treated by ALA-PDT once a week for 5 times. The treated areas were observed every two weeks within 3 months and every one month after 3 months. Results After five treatments of ALA-PDT, among 25 patients 18 achieved complete response, 4 partial response and 3 no response. The therapeutic effect of superficial basal cell carcinoma was excellent with a complete response of 90%. After 6-19 months of follow-up, 2 of 18 complete response patients had tumor recurrence with a recurrence rate of 11.1%. Conclusion ALA-PDT is an effective, non-invasive treatment for patients with craniofacial basal cell carcinoma.
Key words:  basal cell carcinoma  aminolevulinic acid  photodynamic therapy

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