Cited by 81Nonmelanoma Skin Cancer StudiesPhotodynamic Therapy Research StudiesSkin Protection and Aging

Photodynamic Therapy and Non-Melanoma Skin Cancer

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Griffin, Liezel, Lear, John·2016·Cancers

Abstract

Non-melanoma skin cancer (NMSC) is the most common malignancy among the Caucasian population. Photodynamic therapy (PDT) is gaining popularity for the treatment of basal cell carcinoma (BCC), Bowen’s disease (BD) and actinic keratosis (AK). A topical or systemic exogenous photosensitiser, results in selective uptake by malignant cells. Protoporphyrin IX (PpIX) is produced then activated by the introduction of a light source. Daylight-mediated MAL (methyl aminolaevulinate) PDT for AKs has the advantage of decreased pain and better patient tolerance. PDT is an effective treatment for superficial BCC, BD and both individual and field treatment of AKs. Excellent cosmesis can be achieved with high patient satisfaction. Variable results have been reported for nodular BCC, with improved outcomes following pretreatment and repeated PDT cycles. The more aggressive basisquamous, morphoeic infiltrating subtypes of BCC and invasive squamous cell carcinoma (SCC) are not suitable for PDT. Prevention of “field cancerization” in organ transplant recipients on long-term immunosuppression and patients with Gorlin syndrome (naevoid basal cell carcinoma syndrome) is a promising development. The optimisation of PDT techniques with improved photosensitiser delivery to target tissues, new generation photosensitisers and novel light sources may expand the future role of PDT in NMSC management.

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Authors
Griffin, L., & Lear, J.
Affiliations
Manchester Academic Health Science Centre (GB)
Corresponding author
Lear, John
Venue
Cancers
Publisher
MDPI AG
Published
2016-10-22
Volume
8
Issue
10
Pages
98
ISSN
2072-6694 (ISSN-L)
OpenAlex
W2532872607
Cited by
81
References
99
Citations by year
2026: 6 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 10 · 2020: 11 · 2019: 13 · 2018: 10 · 2017: 6
FWCI
1.31
Type
journal article
Language
en
Open access
Locations
  • Cancers (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
National Institute for Health and Care Research (ACF-2013-06-004)
Topics
  • Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
Keywords
photodynamic therapy, non-melanoma skin cancer, basal cell carcinoma, Bowen's disease, actinic keratosis, methyl aminolaevulinate, protoporphyrin IX, photosensitizers, field cancerization, immunosuppression, Gorlin syndrome, nodular basal cell carcinoma, squamous cell carcinoma, cosmetic outcome

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