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Photodynamic therapy: A targeted literature review focussing on outcomes and optimisation in solid organ transplant recipients
Author(s) -
Lim Chloe M,
Gordon Lynne
Publication year - 2019
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.13049
Subject(s) - medicine , photodynamic therapy , organ transplantation , solid organ , basal cell carcinoma , dermatology , skin cancer , basal cell , cancer , actinic keratoses , oncology , population , transplantation , surgery , chemistry , environmental health , organic chemistry
Squamous cell carcinoma incidence is 65‐ to 250‐fold in solid organ transplant recipients, BCC is 10‐fold and in Australia, rates of skin cancer in solid organ transplant recipients reach 70–82% prevalence within the first 20 years; hence, effective, evidence‐based treatment of early and precancerous lesions is an essential tool in dermatological patient care. Photodynamic therapy is used to treat a range of conditions including actinic keratoses, squamous cell carcinoma in situ , superficial basal cell carcinoma and nodular basal cell carcinoma. A literature review was undertaken to examine the outcomes of photodynamic therapy in solid organ transplant recipients and methods of optimising outcomes in solid organ transplant recipients. Study sizes were small and protocols varied widely, so meta‐analysis was not possible; however, photodynamic therapy appears to be an acceptable treatment for approved indications in solid organ transplant recipients in whom ongoing surveillance is maintained to ensure clearance and detect recurrence. Methods for improving efficacy were also reviewed for this population. Improved outcomes may be achieved by combining photodynamic therapy with other local methods such as 5‐fluorouracil or ablative fractional laser.