Photodynamic Detection of Peritoneal Metastases Using 5-Aminolevulinic Acid (ALA)

Autor: Hiroshi Shintani, Koutarou Hatano, Haruaki Ishibashi, Yoshio Endo, Yuuki Imazato, Kousuke Noguchi, Shun-ichiro Ogura, Hiroyuki Yoshitake, Yan Li, Emel Canbay, Satoshi Wakama, Yutaka Yonemura, Akiyoshi Mizumoto, Yang Liu, Masamitu Hirano, Kazuhiro Yamada, Nobuyuki Takao, Masumi Ichinose
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Cancers, Vol 9, Iss 3, p 23 (2017)
Cancers
ISSN: 2072-6694
Popis: In the past, peritoneal metastasis (PM) was considered as a terminal stage of cancer. From the early 1990s, however, a new comprehensive treatment consisting of cytoreductive surgery and perioperative chemotherapy has been established to improve long-term survival for selected patients with PM. Among prognostic indicators after the treatment, completeness of cytoreduction is the most independent predictors of survival. However, peritoneal recurrence is a main cause of recurrence, even after complete cytoreduction. As a cause of peritoneal recurrence, small PM may be overlooked at the time of cytoreductive surgery (CRS), therefore, development of a new method to detect small PM is desired. Recently, photodynamic diagnosis (PDD) was developed for detection of PM. The objectives of this review were to evaluate whether PDD using 5-aminolevulinic acid (ALA) could improve detection of small PM.
Databáze: OpenAIRE