Photodynamic therapy of virus-associated precancer and early stages cancer of cervix uteri

被引:41
作者
Trushina, O. I. [1 ]
Novikova, E. G. [1 ]
Sokolov, V. V. [1 ]
Filonenko, E. V. [1 ]
Chissov, V. I. [1 ]
Vorozhtsov, G. N. [1 ]
机构
[1] Moscow Res Oncol Inst, Moscow, Russia
关键词
Photodynamic therapy; Photogem; Photosens; Alasens; Pre-cancerous lesions; Early cervical cancer; Human papilloma virus (HPV) infection;
D O I
10.1016/j.pdpdt.2008.09.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We have analyzed the results of photodynamic therapy using light-sensitizing agent "Photogem" in 72 patients - 56 women with pre-cancerous lesions of cervix and 16 women with early cervical cancer (group 1); Photosens in 47 patients - 35 women with pre-cancerous lesions (CIN III), 12 women with non-invasive cervical cancer (carcinoma in situ) (group 2); and Alasens in 22 patients - 8 women with virus-associated pre-cancerous lesions (high-grade CIN III), 14 with virus-associated early cervical cancer (carcinoma in situ, cervical cancer 1A1) (group 3). The results were as follows: group 1 - complete regression of CIN III and non-invasive cervical cancer (carcinoma in situ) was achieved in 50 (89.2%) and 11 (68.8%) cases, significant regression was achieved in 2 cases (3.6%) and in 2 cases (12.5%), stabilization was achieved in 2 cases (3.6%) and in 2 cases (12.5%), progression was achieved in 2 cases (3.6%) and in 1 case (6.2%) accordingly. In the group of patients after PDT using Photosens complete regression of CIN III and non-invasive cervical cancer (carcinoma in situ) was achieved in 33 cases (94.2%) and in 10 cases (83.4%) cases, significant regression was achieved in 1 case (2.9%) and in 1 case (8.3%), stabilization was achieved in 1 cases (2.9%) and in 1 cases (8.3%). In the group of women after surgical treatment anti-viral efficacy was assessed. It s necessary to note that not a single relapse was observed. Anti-viral effect was registered in 49 (90.4%) cases The longest HPV-free period that we observed was 5 years. 12 women with CIN III and 4 women with carcinoma in situ became pregnant. (C) 2008 Published by Elsevier B.V.
引用
收藏
页码:256 / 259
页数:4
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