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144    CHAPTER 6  Laser-assisted cancer treatment




                          Table 6.2  Photosensitizer agent under clinical or clinical approved.
                          Photosensitizers             Type of cancers           Ref.
                          Porfimer sodium              Lung cancers              [52, 53]
                                                       Esophageal cancer
                                                       Bladder cancer
                                                       Cervical cancer
                                                       Skin diseases
                                                       Kaposi’s sarcoma
                                                       Barrett’s esophagus
                                                       Head cancers
                                                       Brain cancer
                                                       Neck cancer
                                                       Breast cancer
                          5-Aminolevulinic acid        Actinic keratosis         [54, 55]
                                                       Basal cell carcinoma
                                                       Bladder tumor skin cancer
                                                       Lung cancer
                                                       Gastrointestinal tract
                          Methyl aminolevulinate       Actinic keratosis         [56, 57]
                          Tetra(m-hydroxyphenyl)chlorin  Neck cancer             [58, 59]
                                                       Scalp cancer
                                                       Breast cancer
                                                       Prostate cancer
                                                       Pancreatic cancers
                          N-Aspartyl chlorin e6        Fibrosarcoma              [53]
                                                       Liver cancer
                                                       Brain cancer
                                                       Oral cancer
                                                       Lung cancer



                         [50]. Moreover, the application of hypericin has been studied in the clinical stage
                         for PDT of basal and squamous cell carcinoma as well as mesothelioma. Further
                         application of hypericin in a clinical-stage has been limited due to lack of solubil-
                         ity in aqueous media leading to immediate aggregations in water. Several stud-
                         ies have been improved the solubility of hypericin by using nanotechnology [51].
                         Lima et al. demonstrated that by entrapping hypericin in lipid-based nanoparticles,
                         cellular uptake increased by 30% [51]. Table 6.2 summarized photosensitizers for
                         clinical used.
                            Drug-delivery system represents an emerging approach to improve therapeutic
                         outcomes of PDT and PTT. In addition, drug delivery systems provide the opportu-
                         nity for dual cancer therapy by delivery both PTT or PDT agent and anticancer drugs
                         in a single platform.
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