Photodynamic therapy (PDT) using topically applied delta-aminolevulinic acid (ALA) for the treatment of oral leukoplakia

J Oral Pathol Med. 2003 Jul;32(6):330-6. doi: 10.1034/j.1600-0714.2003.00068.x.

Abstract

Background: Photodynamic therapy (PDT) is a non-invasive method for topical and selective treatment of pre-malignant lesions of oral cavity. The aim of our study was to determine therapeutic response to PDT in patients with oral leukoplakia.

Methods: Twelve patients participated in our study. Lesions affected a variety of intraoral sites. The most common location was buccal, gingival and mandibular mucosa. Patients were treated with topically applied 10% delta-aminolevulinic acid (ALA) and light from an argon-pumped dye laser. Irradiation was performed in several (6-8) sessions using light at 635 nm wavelength, delivering a total dose of 100 J/cm2 per session.

Results: A complete response was obtained in 10 out of 12 treated patients. One recurrence was observed during 6 months.

Conclusion: Photodynamic therapy appears to be a feasible alternative to conventional therapy of pre-malignant lesions of oral cavity.

MeSH terms

  • Administration, Topical
  • Adult
  • Aged
  • Aminolevulinic Acid / administration & dosage
  • Aminolevulinic Acid / therapeutic use*
  • Humans
  • Laser Therapy
  • Leukoplakia, Oral / drug therapy*
  • Middle Aged
  • Photochemotherapy
  • Photosensitizing Agents / administration & dosage
  • Photosensitizing Agents / therapeutic use*

Substances

  • Photosensitizing Agents
  • Aminolevulinic Acid