Photodynamic Therapy as a Promising Treatment for Long-segment and Whole-circumferential Early Esophageal Cancer
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background Photodynamic therapy (PDT) is an effective endoscopic therapy indicated for early esophageal cancer, but there have been few reports of PDT for circumferential lesions so far. Aims To investigate the clinical outcome of PDT for patients with whole-circumferential early esophageal squamous cell carcinoma (ESCC). Methods Patients with whole-circumferential early ESCC, who received PDT between January 2020 and July 2022 were retrospectively evaluated. An analysis for comparisons between the results of PDT and contemporaneous endoscopic submucosal dissection (ESD) for similar esophageal lesions was conducted. Results The complete response (CR) rate was 83.33% after PDT treatment for a median tumor length of 9.5cm. A longer tumor length (>10cm) was the risk factor of PDT failure (P=0.045). Post-PDT strictures are easier to resolve than ESD, yielding a shorter dysphagia duration. Conclusions PDT can be expected to be an effective and safe endoscopic modality for long-segment and whole-circumferential early ESCC.
Authors: Lin Yuan, Jinliang Ni, Xueliang Li
Institutions: Jiangsu Province Hospital, Nanjing Medical University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,610
OpenAlex ID: W4416390832
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