Photodynamic Therapy (levulan plus Blue Light Treatment)?
Photodynamic therapy (PDT) is a medical treatment that uses a photosensitizing drug (a drug that becomes activated by light exposure) and a light source to activate the applied drug. The result is an activated oxygen molecule that can destroy nearby cells. Precancerous cells and certain types of cancer cells can be treated this way. The procedure is easily performed in a physician's office or outpatient setting.
PDT essentially has three steps. First, a light-sensitizing liquid, cream, or intravenous drug (photosensitizer) is applied or administered. Second, there is an incubation period of minutes to days. Finally, the target tissue is then exposed to a specific wavelength of light that then activates the photosensitizing medication.
Steps:
- Application of photosensitizer drug
- Incubation period
- Light activation
Although first used in the early 1900s, PDT in the modern sense is a fairly new, evolving science. Current PDT involves a variety of incubation times for the light-sensitizing drug and a variety of light sources depending on the target tissue. The basic premise of PDT is selective tissue destruction. Although the photosensitizer may be absorbed all over by many cells, atypical or cancerous cells take up more of the drug and retain the drug for a longer duration than normal tissues.
At present, the primary limitation of available PDT techniques is the depth of penetration of the light and ability to target cells within at most 1/3 of an inch (approximately 1 cm) of the light source. Therefore, tumors or atypical growths must be close to the surface of the skin or treatment surface for PDT to work.
PDT is currently used in a number of medical fields including oncology (cancer), dermatology (skin), and cosmetic surgery.
In oncology, it is FDA approved for non-small cell lung cancer, esophageal cancer, and precancerous changes of Barrett's esophagus. Its use is also being further investigated through clinical trials in general oncology for conditions including cancers of the cervix (mouth of uterus), prostate gland, brain, and peritoneal cavity (the abdominal space that contains the stomach, liver, and internal organs).