Source:http://linkedlifedata.com/resource/pubmed/id/17107404
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2006-11-19
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pubmed:abstractText |
We report a new immunological treatment for advanced cutaneous melanoma which combines laser stimulation with topical application of a toll-like receptor agonist. This treatment, in situ photoimmunotherapy (ISPI), provides an alternative to traditional therapies for melanoma patients with cutaneous metastases. A 6-week cycle of ISPI is carried out on cutaneous metastases located in a designated 20 x 20 cm treatment area: 2 weeks of pretreatment with twice-daily topical applications of imiquimod (5% cream under plastic occlusion), with a laser treatment session at week 2 and again at week 4. Topical imiquimod is continued for the entire 6-week cycle. Two patients with late-stage melanoma were treated with ISPI. Patient 1 had the primary tumour and local metastases on the left arm, as well as metastatic tumours in the lungs [American Joint Committee on Cancer (AJCC) stage IV]. Patient 2 had a head and neck melanoma with multiple local metastases (AJCC stage IIIC), which had failed repeated attempts at surgical resection and high-dose radiation therapy. Patient 1 is now free of all clinically detectable tumours (including the lung metastases) >20 months after the first treatment cycle. Patient 2 has been free of any clinical evidence of the tumour for over 6 months. These two cases demonstrate that ISPI can clear local tumour and trigger beneficial systemic responses, with a side-effect profile that compares favourably with other treatments for advanced melanoma.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Aminoquinolines,
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Photosensitizing Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Toll-Like Receptors,
http://linkedlifedata.com/resource/pubmed/chemical/imiquimod
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0007-0963
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
155
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1287-92
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:17107404-Aged,
pubmed-meshheading:17107404-Aminoquinolines,
pubmed-meshheading:17107404-Antineoplastic Agents,
pubmed-meshheading:17107404-Combined Modality Therapy,
pubmed-meshheading:17107404-Female,
pubmed-meshheading:17107404-Humans,
pubmed-meshheading:17107404-Infrared Rays,
pubmed-meshheading:17107404-Laser Therapy,
pubmed-meshheading:17107404-Lung Neoplasms,
pubmed-meshheading:17107404-Male,
pubmed-meshheading:17107404-Melanoma,
pubmed-meshheading:17107404-Middle Aged,
pubmed-meshheading:17107404-Photochemotherapy,
pubmed-meshheading:17107404-Photosensitizing Agents,
pubmed-meshheading:17107404-Skin Neoplasms,
pubmed-meshheading:17107404-Toll-Like Receptors,
pubmed-meshheading:17107404-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
In situ photoimmunotherapy: a tumour-directed treatment for melanoma.
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pubmed:affiliation |
Department of Arthritis and Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK 73104, USA. marknaylor@earthlink.net
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't,
Research Support, N.I.H., Extramural
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