Successful treatment of an extensive verrucous carcinoma with topical 5-aminolevulinic acid-mediated photodynamic therapy

Hsin Ming Chen, Chin Tin Chen, Hsiang Yang, Ming I. Lee, Mark Yen Ping Kuo, Ying Shiung Kuo, Yi Ping Wang, Tsuimin Tsai, Chun Pin Chiang

Research output: Contribution to journalArticlepeer-review

53 Citations (Scopus)

Abstract

Our recent study found that a new topical 5-aminolevulinic acid-mediated photodynamic therapy (ALA-PDT) protocol composed of multiple 3-min fractionated irradiations with a light emitting diode (LED) red light at 635 ± 5 nm for a total of 1000 s (fluence rate: 100 mW/cm2; light exposure dose: 100 J/cm2) after topical application of 20% ALA for 1.5 or 2 h can be used successfully for the treatment of oral verrucous hyperplasia. In this case report, we tested the efficacy of this new treatment protocol of ALA-PDT for an extraoral verrucous carcinoma (VC) lesion at the right mouth angle and an intraoral VC lesion at the right buccal mucosa of a 56-year-old male areca quid chewer and smoker. The extraoral tumor was cleared after six treatments of topical ALA-PDT and the intraoral tumor showed complete regression after 22 treatments of topical ALA-PDT. No recurrence of the VC lesion was found after a follow-up period of 6 months. We suggest that FDT using a topical application of 20% ALA followed by multiple 3-min fractionated irradiations with an LED red light is also an effective and successful treatment modality for VC.

Original languageEnglish
Pages (from-to)253-256
Number of pages4
JournalJournal of Oral Pathology and Medicine
Volume34
Issue number4
DOIs
Publication statusPublished - Apr 2005

Keywords

  • 5-aminolevulinic acid
  • Photodynamic therapy
  • Verrucous carcinoma

ASJC Scopus subject areas

  • Oral Surgery
  • Periodontics
  • Cancer Research
  • Pathology and Forensic Medicine
  • Otorhinolaryngology

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