Rethinking of photodynamic therapy on cerebral glioma: the difficulty of necrotic tissue exclusion and its sequence

Yongming Qiu, Zhaofeng Lu, Zhe Liu, Qi-zhong Luo
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Abstract

The photodynamic therapy of cerebral gliomas is one kind of adjunctive therapy after operative tumor removal. But it is not widely accepted until now. We report two cases of failure treatment in our totally consecutive ten patients treated with this method and analyse the cause of the poor outcome. Unlike the uninary system and digest system, the difficult of necrotic tumor or brain tissue exclusion in the brain is marked and resulted in poor result. Our view is that the problem of massive necrotic tumor tissue exclusion which is the wish of therapist and the key of achieving good result might limit the further application of photodynamic therapy on cerebral gliomas.
脑胶质瘤光动力治疗的再思考:坏死组织排除的困难及其顺序
脑胶质瘤光动力治疗是脑胶质瘤手术切除后的一种辅助治疗方法。但直到现在才被广泛接受。我们报告两例治疗失败的病例在我们的全部连续10例患者用这种方法治疗,并分析了不良结果的原因。与一元系统和消化系统不同,脑内坏死肿瘤或脑组织排除困难明显,结果较差。我们认为,大量坏死肿瘤组织的排除问题可能会限制光动力治疗在脑胶质瘤中的进一步应用,而这是治疗者的愿望和取得良好效果的关键。
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