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  1. 原著論文

Clinical trial of photodynamic therapy for peripheral-type lung cancers using a new laser device in a pilot study

https://repo.qst.go.jp/records/80288
https://repo.qst.go.jp/records/80288
302e1905-c666-4cf7-a0cd-7a1b88ecdd78
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-08-04
タイトル
タイトル Clinical trial of photodynamic therapy for peripheral-type lung cancers using a new laser device in a pilot study
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Usuda, Jitsuo

× Usuda, Jitsuo

WEKO 883022

Usuda, Jitsuo

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Inoue, Tatsuya

× Inoue, Tatsuya

WEKO 883023

Inoue, Tatsuya

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Tsuchida, Takaaki

× Tsuchida, Takaaki

WEKO 883024

Tsuchida, Takaaki

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Ohtani, Keishi

× Ohtani, Keishi

WEKO 883025

Ohtani, Keishi

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Maehara, Sachio

× Maehara, Sachio

WEKO 883026

Maehara, Sachio

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Ikeda, Norihiko

× Ikeda, Norihiko

WEKO 883027

Ikeda, Norihiko

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Ohsaki, Yoshinobu

× Ohsaki, Yoshinobu

WEKO 883028

Ohsaki, Yoshinobu

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Sasaki, Takaaki

× Sasaki, Takaaki

WEKO 883029

Sasaki, Takaaki

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Oka, Kiyoshi

× Oka, Kiyoshi

WEKO 883030

Oka, Kiyoshi

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Oka, Kiyoshi

× Oka, Kiyoshi

WEKO 883031

en Oka, Kiyoshi

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抄録
内容記述タイプ Abstract
内容記述 Introduction/Aim
Photodynamic therapy (PDT) involves the use of a tumor-specific photosensitizer and laser irradiation, and is one of the treatment options recommended for early centrally located lung cancers, but not yet for peripheral-type lung cancers. We developed a new laser probe, the composite-type optical fiberscope (COF), which allows accurate laser irradiation of a cancer lesion with simultaneous visualization of the lesion. In this study, we attempted a new endobronchial PDT technique using the new laser probe, and evaluated the effectiveness and feasibility of this novel PDT technique for peripheral lung cancers.

Methods
This phase I study was conducted in 7 patients with peripheral lung cancers (primary tumor ≤20 mm in diameter). We performed endobronchial PDT for these patients using the new laser probe and talaporfin sodium as the photosensitizer.

Results
We performed PDT for 3 patients with peripheral lung cancer using a laser dose of 50 J/cm2 at 120 mW, and confirmed the feasibility of using this dose. Then, we escalated the laser dose to 100 J/cm2 in 4 additional patients. A total of 7 patients met our inclusion criteria. Evaluation at 2 weeks and 3 months after the PDT revealed no complication such as pneumonia or pneumothorax. At the evaluation conducted 6 months later, we found CR in 3 cases and SD in the remaining 4 cases.

Conclusion
PDT was found to be a feasible and non-invasive treatment modality for early peripheral-type lung cancer. In the future, PDT could become a standard treatment option for peripheral-type lung cancer.
書誌情報 Photodiagnosis and Photodynamic Therapy

巻 30, 発行日 2020-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 1572-1000
DOI
識別子タイプ DOI
関連識別子 10.1016/j.pdpdt.2020.101698
関連サイト
識別子タイプ URI
関連識別子 https://www.sciencedirect.com/science/article/abs/pii/S157210002030051X#!
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