INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA

Abstract Results of application of a new technology of intraoperative photodynamic therapy (IOFDT) in patients with peritoneal mesothelioma developed at P. Herzen Moscow Oncology Research Institute are presented. The study included 8 patients. 3 patients underwent surgery in various amount: 1 – limi...

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Main Authors: A. D. Kaprin, E. A. Suleimanov, E. V. Filonenko, N. A. Grishin, V. M. Khomyakov, D. V. Sidorov, A. N. Urlova
Format: Article
Language:Russian
Published: Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association" 2017-01-01
Series:Biomedical Photonics
Subjects:
Online Access:http://www.pdt-journal.com:80/jour/article/view/180
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author A. D. Kaprin
E. A. Suleimanov
E. V. Filonenko
N. A. Grishin
V. M. Khomyakov
D. V. Sidorov
A. N. Urlova
author_facet A. D. Kaprin
E. A. Suleimanov
E. V. Filonenko
N. A. Grishin
V. M. Khomyakov
D. V. Sidorov
A. N. Urlova
author_sort A. D. Kaprin
collection DOAJ
description Abstract Results of application of a new technology of intraoperative photodynamic therapy (IOFDT) in patients with peritoneal mesothelioma developed at P. Herzen Moscow Oncology Research Institute are presented. The study included 8 patients. 3 patients underwent surgery in various amount: 1 – limited peritonectomy in the volume of tumor foci resection and resection of a large omentum, 1 – limited peritonectomy in the volume of tumor foci resection and atypical resection of the right lobe of the liver, 1 – only resection of the large omentum due to the fact that the tumor was located only in a large omentum and no signs of lesions of the parietal peritoneum was revealed by intraoperative revision. Surgical intervention in these patients was concluded by IOPDT. The remaining 5 patients underwent only IOPDT. After the treatment, two patients underwent additional courses of laparoscopic IOPDT. Of the 8 patients enrolled in the study, 4 died from the underlying disease, 1 from cardiovascular disease with recurrence of the disease, 1 from cardiovascular disease without signs of recurrence, 2 were monitored for 6 months and 146 months (12 years). Thus, in the group of patients with peritoneal mesothelioma, the maximum observation period was 146.44 months, the median survival was 48.4 months, the total specific 1-year survival was 85.7±13.2%, the three-year survival was 68.5±18.6%, the 5-year survival was 45.7 ± 22.4 %. The average life expectancy after treatment of patients with repeated courses of laparoscopic IOPDT was 87 months, without repeated courses – 35.8 months. Thus, life expectancy was higher in patients with repeated courses of laparoscopic IOPDT. Small sample size caused to the rarity of this pathology does not allow for statistically significant conclusions. However, the results of the study indicate the prospects of multi-course intraoperative photodynamic therapy in patients with peritoneal mesothelioma.
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spelling doaj.art-2707772ad8874b4ebf03897c1d6906f22022-12-22T00:10:14ZrusNon-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association"Biomedical Photonics2413-94322017-01-0163410116INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMAA. D. Kaprin0E. A. Suleimanov1E. V. Filonenko2N. A. Grishin3V. M. Khomyakov4D. V. Sidorov5A. N. Urlova6Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Национальный медицинский исследовательский радиологический центр Минздрава России.Abstract Results of application of a new technology of intraoperative photodynamic therapy (IOFDT) in patients with peritoneal mesothelioma developed at P. Herzen Moscow Oncology Research Institute are presented. The study included 8 patients. 3 patients underwent surgery in various amount: 1 – limited peritonectomy in the volume of tumor foci resection and resection of a large omentum, 1 – limited peritonectomy in the volume of tumor foci resection and atypical resection of the right lobe of the liver, 1 – only resection of the large omentum due to the fact that the tumor was located only in a large omentum and no signs of lesions of the parietal peritoneum was revealed by intraoperative revision. Surgical intervention in these patients was concluded by IOPDT. The remaining 5 patients underwent only IOPDT. After the treatment, two patients underwent additional courses of laparoscopic IOPDT. Of the 8 patients enrolled in the study, 4 died from the underlying disease, 1 from cardiovascular disease with recurrence of the disease, 1 from cardiovascular disease without signs of recurrence, 2 were monitored for 6 months and 146 months (12 years). Thus, in the group of patients with peritoneal mesothelioma, the maximum observation period was 146.44 months, the median survival was 48.4 months, the total specific 1-year survival was 85.7±13.2%, the three-year survival was 68.5±18.6%, the 5-year survival was 45.7 ± 22.4 %. The average life expectancy after treatment of patients with repeated courses of laparoscopic IOPDT was 87 months, without repeated courses – 35.8 months. Thus, life expectancy was higher in patients with repeated courses of laparoscopic IOPDT. Small sample size caused to the rarity of this pathology does not allow for statistically significant conclusions. However, the results of the study indicate the prospects of multi-course intraoperative photodynamic therapy in patients with peritoneal mesothelioma.http://www.pdt-journal.com:80/jour/article/view/180интраоперационная фотодинамическая терапиямезотелиома брюшины
spellingShingle A. D. Kaprin
E. A. Suleimanov
E. V. Filonenko
N. A. Grishin
V. M. Khomyakov
D. V. Sidorov
A. N. Urlova
INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
Biomedical Photonics
интраоперационная фотодинамическая терапия
мезотелиома брюшины
title INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
title_full INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
title_fullStr INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
title_full_unstemmed INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
title_short INTRAOPERATIVE PHOTODYNAMIC THERAPY FOR PERITONEAL MESOTHELIOMA
title_sort intraoperative photodynamic therapy for peritoneal mesothelioma
topic интраоперационная фотодинамическая терапия
мезотелиома брюшины
url http://www.pdt-journal.com:80/jour/article/view/180
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AT easuleimanov intraoperativephotodynamictherapyforperitonealmesothelioma
AT evfilonenko intraoperativephotodynamictherapyforperitonealmesothelioma
AT nagrishin intraoperativephotodynamictherapyforperitonealmesothelioma
AT vmkhomyakov intraoperativephotodynamictherapyforperitonealmesothelioma
AT dvsidorov intraoperativephotodynamictherapyforperitonealmesothelioma
AT anurlova intraoperativephotodynamictherapyforperitonealmesothelioma