Fighting cancer with light

Researchers in Philadelphia are among those seeking to expand the use of lasers to target tumors and curtail side effects.

January 25, 2010|By Tom Avril, Inquirer Staff Writer
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  • David Loren prepares the laser in the operating room at Jefferson Hospital. Shining the laser on a tumor can stimulate the production of a toxic oxygen that kills some cancer cells.
  • David Loren prepares the laser in the operating room at Jefferson Hospital. Shining the laser on a tumor can stimulate the production of a toxic oxygen that kills some cancer cells. (Peter Mucha )
  • David Loren looks at screens to check the progress of the procedure on Gloria Correa's cancerous bile duct. Much of the tumor would remain unaffected, but Loren thought laser treatment would prolong her life, and make her feel better meanwhile.

Gloria Correa has tried all the standard weapons in her war against cancer: chemotherapy, radiation, and finally surgery.

But when a surgeon opened her up last fall to cut out the deadly tumor that was squeezing her bile duct, he saw that it had engulfed nearby arteries. It was impossible to remove.

Now Correa is trying a gentler-sounding approach at Thomas Jefferson University Hospital: light.

First she was infused with medicine that made the tumor cells light-sensitive. Two days later, physician David Loren carefully threaded a flexible fiber down through her intestines and bathed the cancerous mass with the glow of a red laser.

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Called photodynamic therapy, the technique represents part of medicine's continuing quest for treatments that target tumors while sparing the rest of the body from unpleasant side effects. Though far more common in Europe, this light-based therapy is gaining proponents in the United States, where it has long been approved for treating certain lung and skin cancers.

Loren is among the researchers who seek to expand its use. He is participating in a University of Virginia-led effort to gain approval to use it on bile-duct tumors.

Separately, researchers at University of the Sciences in Philadelphia are using the technique to combat prostate cancer in lab animals.

Correa, 54, of Langhorne, feels like something of a lab animal herself. She is among just a handful of U.S. patients who have gotten the treatment for bile-duct cancer (cholangiocarcinoma), and at first she was a little hesitant.

So were her two sons, both in their 20s.

"They asked me if I was going to glow in the dark," she said, before undergoing the first of several treatments last month.

No, but the therapy does have one significant side effect:

The medicine that makes the tumor cells sensitive to light has a similar effect on the rest of the body. Regular cells excrete the medicine more quickly than do cancer cells, yet the kind of drug Correa received still had a fairly long impact. She would have to stay away from bright light for several weeks, or else suffer a bad sunburn.

So when Correa arrived at Jefferson for her first encounter with the laser, she wore a floppy, wide-brimmed hat and dark sunglasses.

 

Grim prognosis

The bile duct plays a key role in digestion, ferrying bile salts from the liver to the small intestine, where they help break down fats.

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