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Cisplatinum and interstitial laser therapy for advanced head and neck cancer: a preclinical study
M B Paiva1, R E Saxton, Q M VanderWerf
1Department of Surgery, UCLA School of Medicine 90095-1794, USA.
Background And Objective:
Direct intratumor injection of cisplatinum (CDDP) and laser therapy were tested for improved treatment of squamous cell carcinoma (SCCA).
Study Design/Materials And Methods:
Human SCCA tumors were grown as s.c. transplants in nude mice and injected with CDDP (0.4-1.2 mg/gm) in water or in collagen-based gel carrier with epinephrine (epi-gel), followed by interstitial laser therapy (ILT) via 0.6 mm fiberoptics (532 nm/300 J).
Results:
Tumors injected with CDDP epi-gel exhibited a partial response with 2-4-fold tumor growth delay, compared to aqueous drug or untreated SCCA transplants during 10-week follow-up. Combined drug and laser therapy significantly decreased tumor volume with recurrence in only 25% (2/8) of animals tested, compared to 66% tumor regrowth (10/15) after ILT alone.
Conclusion:
These initial results suggest laser chemotherapy may become an effective treatment for advanced head and neck cancer.