Where Does Photodynamic Therapy Fit in the Esophageal Cancer Treatment Jigsaw Puzzle?

Author:
Keyvan Moghissi Presented by Keyvan Moghissi, BSc, MD, MS, FRCS, FETCS, Director and Consultant, Cardiothoracic Surgeon, Yorkshire Laser Centre, East Yorkshire, England.

Search for other papers by Keyvan Moghissi in
Current site
Google Scholar
PubMed
Close
 BSc, MD, MS, FRCS, FETCS
Restricted access

Traditional treatment options for esophageal cancer have centered on the triad of surgery, chemotherapy, and radiotherapy. Although surgery remains the gold standard for operable disease, photodynamic therapy (PDT) is emerging as a valid minimally invasive option for select patients with inoperable disease. Years of experience with PDT for esophageal cancer seem to suggest that it may be particularly useful for treatment of early unresectable lesions, palliation of locally advanced disease, and salvage therapy for stent blockage or local tumor recurrence. Further investigation into the ideal role for PDT, perhaps through a comparative study with other nonsurgical options, may help clarify where it fits in the treatment armamentarium for esophageal cancer.

Correspondence: Keyvan Moghissi, MD, Yorkshire Laser Centre, Goole & District Hospital, Woodlands Avenue, Goole, East Yorkshire DN14 6RX England. E-mail: kmoghissi@yorkshirelasercentre.org

Dr. Moghissi has disclosed that he has no financial interests, arrangements, commercial interest conflicts, or affiliations with the manufacturers of any products discussed in this article or their competitors.

  • Collapse
  • Expand
  • 1

    Sawant D, Moghissi K. Management of unresectable oesophageal cancer: a review of 537 patients. Eur J Cardiothorac Surg 1994;8:113117.

  • 2

    Sharpe DA, Moghissi K. Resectional surgery in carcinoma of the oesophagus and cardia: what influences long-term survival? Eur J Cardiothorac Surg 1996;10:359364.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Moghissi K, Dixon K. Photodynamic therapy (PDT) in esophageal cancer: a surgical view of its indications based on 14 years’ experience. Technol Cancer Res Treat 2003;2:319326.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Moghissi K, Hornshaw J, Teasdale PR. Enteral nutrition in carcinoma of the oesophagus treated by surgery: nitrogen balance and clinical studies. Br J Surg 1977;64:125128.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Balázs A, Kokas P, Lukovich P, Kupcsulik P. Palliative management of malignant oesophageal strictures with endoprosthesis implantation: 25 years’ experience. Magy Seb 2011;64:267276.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Morgan JL, Khan HN, Lambertz MM. Oesophageal stenting in a district general hospital. Surgeon 2009;7:203205.

  • 7

    Moghissi K, Dixon K, Stringer M, Thorpe JA. Photofrin PDT for early stage oesophageal cancer: long term results in 40 patients and literature review. Photodiagnosis Photodyn Ther 2009;6:159166.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Li LB, Xie JM, Zhang XN et al.. Retrospective study of photodynamic therapy vs photodynamic therapy combined with chemotherapy and chemotherapy alone on advanced esophageal cancer. Photodiagnosis Photodyn Ther 2010;7:139143.

    • PubMed
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 1184 548 111
PDF Downloads 404 137 11
EPUB Downloads 0 0 0