PMID- 25030404 OWN - NLM STAT- MEDLINE DCOM- 20151222 LR - 20211021 IS - 1435-604X (Electronic) IS - 0268-8921 (Linking) VI - 30 IP - 1 DP - 2015 Jan TI - Effect of methylene blue-mediated photodynamic therapy for treatment of basal cell carcinoma. PG - 109-15 LID - 10.1007/s10103-014-1609-1 [doi] AB - Photodynamic therapy (PDT) is regarded as a treatment option for basal cell carcinoma (BCC). The aim of this study is to investigate the efficacy of methylene blue (MB)-based PDT in patients suffering from nodular or ulcerative BCCs. This study is a prospective clinical trial with a 6-months follow-up. The study setting is at the Dermatology Clinic at NILES, Cairo University, Egypt. Seventeen patients complaining of nodular BCC (nBCC) and three patients complaining of ulcerative BCC (uBCC) were taken as samples. Methylene blue, the photosensitizer, was prepared in two different formulas: liposomal-loaded MB (LMB) was prepared and formulated in hydrogel (MB 0.2%) to be used topically alone for treating BCCs <2 cm in diameter or to be combined with intralesional injection (ILI) of free MB 2% aqueous solution for treating BCCs >/=2 cm in diameter. A session was performed every 2 weeks until complete response (CR) of the lesion or for a maximum of six sessions. Clinical assessments of clinical improvement, dermatological photography, monthly follow-up visits for 6 months, and skin biopsy after 3 months of follow-up to confirm the response, recurrence, or both in cases in which the clinical evaluation was ambiguous. Seventeen patients of the 20 completed the study, 11 patients achieved CR with very good cosmetic outcome, photosensitizer tolerance, and minimal reported side effects. MB is a cheap promising alternative photosensitizer for PDT of nBCC. FAU - Samy, Nevien A AU - Samy NA AD - Dermatology Unit, Department of Medical Applications of Laser, National Institute of Laser Enhanced Sciences (NILES), Cairo University, Cairo, Egypt, nevien_a_sami@hotmail.com. FAU - Salah, Manal M AU - Salah MM FAU - Ali, Maha F AU - Ali MF FAU - Sadek, Ahmed M AU - Sadek AM LA - eng PT - Clinical Trial PT - Journal Article DEP - 20140717 PL - England TA - Lasers Med Sci JT - Lasers in medical science JID - 8611515 RN - 0 (Photosensitizing Agents) RN - 88755TAZ87 (Aminolevulinic Acid) RN - T42P99266K (Methylene Blue) SB - IM MH - Adult MH - Aged MH - Aminolevulinic Acid/therapeutic use MH - Carcinoma, Basal Cell/*drug therapy/pathology MH - Female MH - Humans MH - Male MH - Methylene Blue/*therapeutic use MH - Middle Aged MH - Photochemotherapy MH - Photosensitizing Agents/*therapeutic use MH - Prospective Studies MH - Remission Induction MH - Skin Neoplasms/*drug therapy/pathology MH - Treatment Outcome EDAT- 2014/07/18 06:00 MHDA- 2015/12/23 06:00 CRDT- 2014/07/18 06:00 PHST- 2013/08/12 00:00 [received] PHST- 2014/06/03 00:00 [accepted] PHST- 2014/07/18 06:00 [entrez] PHST- 2014/07/18 06:00 [pubmed] PHST- 2015/12/23 06:00 [medline] AID - 10.1007/s10103-014-1609-1 [doi] PST - ppublish SO - Lasers Med Sci. 2015 Jan;30(1):109-15. doi: 10.1007/s10103-014-1609-1. Epub 2014 Jul 17.