Photodynamic Therapy and Non-Melanoma Skin Cancer
Open accessAbstract
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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The majority of published work on PDT for nonmelanoma skin cancers has studied efficacy in people with FST I-II.
“Where PDT has been used to treat nonmelanoma skin cancers, including BCC, SCC, Bowen’s disease, and AK, the majority of the published work has studied efficacy in people with FST I–II.112,122–125”
From Effect of skin color on optical properties and the implications for medical optical technologies: a review (2024) · cites this paper as [112]
MAL is more lipophilic than ALA, so it is absorbed more deeply into the skin and is commonly used in conjunction with red light, which penetrates more deeply into the skin than blue light.
“Because MAL is more lipophilic than ALA it is absorbed more deeply into the skin and is therefore commonly used in conjunction with red light, which penetrates more deeply into the skin than blue light.112”
From Effect of skin color on optical properties and the implications for medical optical technologies: a review (2024) · cites this paper as [112]
Treatment with MAL-PDT has most commonly been associated with treatment of nonmelanoma skin cancers and, more recently, acne.
“Treatment with MAL-PDT has most commonly been associated with treatment of nonmelanoma skin cancers and, more recently, acne.112,113”
From Effect of skin color on optical properties and the implications for medical optical technologies: a review (2024) · cites this paper as [112]
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Photodynamic Therapy: A Compendium of Latest Reviews
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Mitotic Catastrophe Induced in HeLa Tumor Cells by Photodynamic Therapy with Methyl-aminolevulinate
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Photodynamic therapy: An option in mycosis fungoides
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Deciphering the role of vitamin D on skin cancers and tumour microenvironment
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Photodynamic Reactions for the Treatment of Oral-Facial Lesions and Microbiological Control
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Scalping Surgery – Dermatologic Indications beyond Curative Primary Skin Cancer Surgery
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Recent Research Trends against Skin Carcinoma - An Overview
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Cells to Surgery Quiz: November 2017
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Non-melanoma Skin Cancer and Other Epidermal Tumors
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Non-surgical therapies for localized non-melanoma skin cancer in older adults: A review
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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)
- PMC
- PMC5082388
- 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
- gold
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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