FIELD: medicine.
SUBSTANCE: photosentitiser photosense 0.3-0.4 mg/kg is administered intravenously into a patient. Then 2-3 hours later, a tumour and surrounding skin are exposed to a circular field of laser tele-irradiation at the distance of min. 3 cm at wave length 670 nm, single light dose min. Ws 50 J/cm2 and power density Ps 40÷50 mWt/cm2. Thereafter, a tumour diameter is exposed to the circular field at single light dose Ws 100÷200 J/cm2 and power density Ps 100÷200 mWt/cm2. After a pause of 24 hours, irradiation of the same mode is added with contact irradiation generated from 2-3 positions and covering the tumour and border skin at light dose W 100 J and light guide output power P 200÷250 mWt in each position.
EFFECT: method enables the effective therapeutic management of the patients with stages 1-2a-3a primary skin melanoma, provides avoiding surgical interventions requiring general anaesthesia, makes it possible to treat the patients with manifested cardiac, pulmonary and other comorbidities if observing contraindications for surgical management and general anaesthesia, allows outpatient care, reduces length of treatment and medical rehabilitation, minimises post-treatment complications.
2 ex
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Authors
Dates
2012-11-20—Published
2011-07-15—Filed