Photodynamic Therapy
Photodynamic therapy (PDT) is a treatment that uses a light source and light-sensitive drugs to kill malignant and precancerous cells.
A wavelength of light radiation, generally from a laser, activates photosensitizers.
The photosensitizer is harmless until it is activated by light. The photosensitizer becomes poisonous to the targeted tissue after being activated by light.
How Does Photodynamic Therapy Work?
Photodynamic therapy is a two-step process.
Step 1: Light-Sensitive Drug
The patient is taking a light-sensitive medicine (photosensitizer). The photosensitizer in photodynamic therapy may be taken orally, applied to the skin, or given through an IV.
After taking the medication, there is a time to wait before the next step to allow the medication to build up in the cancer cells.
Most medicine will stay a short time in the normal cells but will remain in cancer or pre-cancer cells.
Step 2: Light Exposure
The tumor is exposed to a light source. The location of the tumor determines the way the light is applied.
The light is directed precisely toward cancer in the case of skin tumors.
For treating internal tumors, the doctor may use an endoscope. Once the endoscope is in position, the doctor inserts a fiber optic cable which sends light to the treatment locations.
Most patients will receive photodynamic therapy as an outpatient, which means they will go home following treatment and will not be admitted to the hospital for the night. Photodynamic therapy can be used alone or in combination with other cancer treatments.
Principles of Photodynamic Cancer Therapy
What are the Side Effects of Photodynamic Therapy?
Photodynamic Therapy For Cancer
Photodynamic therapy is used to treat a variety of conditions, including:
- Pancreatic cancer.
- Bile duct cancer (cholangiocarcinoma)
- Oesophageal cancer
- Precancerous skin changes (actinic keratosis)
- Non-melanoma skin cancer
- Lung cancer
- Head and neck
- Breast
- Prostate
Frequently Asked Questions
Yes, PDT is FDA-approved for certain cancers and skin conditions, and studies have shown its effectiveness in treating localized, surface-level cancers and pre-cancerous lesions.
PDT is generally not painful, but some patients may experience discomfort, stinging, or burning sensations during the light activation phase of treatment.
The number of sessions varies based on the condition. Some patients may require only one treatment, while others may need multiple sessions over several weeks.
PDT is often covered by insurance for FDA-approved uses, such as treating specific cancers or skin conditions, but coverage may vary depending on the condition.
Recovery time varies but is generally short. Most patients can resume normal activities within a few days, although they should avoid direct sunlight for a few weeks.