Practical photodynamic therapy for the Canadian dermatologist
Abstract
Photodynamic therapy (PDT) is used in dermatology for the treatment of malignant and non-malignant cutaneous diseases. PDT utilizes a photosensitizing agent and visible light in the presence of oxygen to produce reactive oxygen species (ROS). ROS then induce apoptosis of cellular components leading to cell death. PDT is approved in Canada for the treatment of non-hyperkeratotic actinic keratoses (AK) and superficial basal cell carcinoma (BCC) outside the H-zone of the face. In addition, some European countries have approved its use in the treatment of squamous cell carcinoma in-situ (SCCis) and thin nodular BCC.
Off-label uses of PDT include acne, photoaging, infectious dermatoses, and malignancies such as cutaneous T cell lymphoma (CTCL), and extra-mammary Paget’s disease. This review will focus on the practical use of PDT for the treatment of premalignant and malignant lesions.
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