摘要
Objective: To evaluate the clinical effectiveness and adverse effects of photodynamic therapy (PDT) for the upper gastrointestinal tract cancers. Methods: 56 patients with upper gastrointestinal cancers in different clinical stages were treated with PDT. Diode laser (630 nm) was used as the light source and the parameters were as follows: power density 200 to 400 mW/cm, energy density 100 to 300 J/cm. PHOTOFRIN was used as photosensitizer, which was given in a dose of 2 mg/kg intravenously 12-24 h before irradiation. Results: Evaluation of the 56 patients' therapeutic effectiveness showed that 6 patients (10.7%) had a complete response (CR), 33 patients (58.9%) partial response (PR), 12 patients (21.4%) mild response (MR), and 5 patients (8.9%) no response (NR). The total response rate (CR+PR) was 69.6%. No patients had severe adverse effects in this group. Conclusion: PDT is an effective and safe palliative modality for upper gastrointestinal tract cancers.