Skip to main content
Top
Published in: Surgical Endoscopy 11/2005

01-11-2005

Videoscopic fluorescence diagnosis of peritoneal and thoracic metastases from human hepatoblastoma in nude rats

Authors: H. Till, F. Bergmann, R. Metzger, B. Haeberle, K. Schaeffer, D. von Schweinitz, R. L. Prosst

Published in: Surgical Endoscopy | Issue 11/2005

Login to get access

Abstract

Background

Various medical disciplines are employing photodynamic diagnosis (PDD) when searching for malignancies. It is still unknown whether pediatric solid tumors such as hepatoblastoma are susceptible to this technique as well.

Methods

Human hepatoblastoma cells were injected into the abdomen or right thoracic cavity of nude rats. Tumor growth was allowed for 7 weeks. Then, photosensitization was induced by peritoneal lavage with 5-aminolevulinic acid (ALA). Applying the Storz PDD system and one 4-mm scope, all animals were investigated by videoscopic white light diagnosis (WD) and PDD. Suspicious lesions were marked and analyzed by spectrometry and histology.

Results

Positive fluorescence was documented for every tumor seen by WD in the abdomen or right thoracic cavity. Spectrometry of lesions showed a 6.34-fold increased fluorescence intensity. Histology revealed hepatoblastoma in all specimens.

Conclusions

Human hepatoblastoma can be detected by PDD in a rat model. Considering the clinical success of this method in other specialties, our findings indicate that further investigations to evaluate the benefit of PDD for children with hepatoblastoma should be performed.
Literature
1.
go back to reference Doi I (1976) Establishment of a cell line and its clonal sublines from a patient with hepatoblastoma. Gann 67: 1–10PubMed Doi I (1976) Establishment of a cell line and its clonal sublines from a patient with hepatoblastoma. Gann 67: 1–10PubMed
2.
go back to reference Endlicher E, Messmann H (2004) Photodynamic diagnosis in the gastrointestinal tract. Gastrointest Endosc Clin North Am 14: 475–485 Endlicher E, Messmann H (2004) Photodynamic diagnosis in the gastrointestinal tract. Gastrointest Endosc Clin North Am 14: 475–485
3.
go back to reference Fuchs J, Rydzynski J, von Schweinitz D, Bode U, Hecker H, Weinel P, Burger D, Harms D, Erttmann R, Oldhafer K, et al; Study Committee of the Cooperative Pediatric Liver Tumor Study Hb 94 for the German Society for Pediatric Oncology and Hematology (2002) Pretreatment prognostic factors and treatment results in children with hepatoblastoma: a report from the German Cooperative Pediatric Liver Tumor Study HB 94. Cancer 95: 172–182CrossRefPubMed Fuchs J, Rydzynski J, von Schweinitz D, Bode U, Hecker H, Weinel P, Burger D, Harms D, Erttmann R, Oldhafer K, et al; Study Committee of the Cooperative Pediatric Liver Tumor Study Hb 94 for the German Society for Pediatric Oncology and Hematology (2002) Pretreatment prognostic factors and treatment results in children with hepatoblastoma: a report from the German Cooperative Pediatric Liver Tumor Study HB 94. Cancer 95: 172–182CrossRefPubMed
4.
go back to reference Gahlen J, Pietschmann M, Prosst RL, Herfarth C (2001) Systemic vs. local administration of delta-aminolevulinic acid for laparoscopic fluorescence diagnosis of malignant intra-abdominal tumors. Experimental study. Surg Endosc 15: 196–199CrossRefPubMed Gahlen J, Pietschmann M, Prosst RL, Herfarth C (2001) Systemic vs. local administration of delta-aminolevulinic acid for laparoscopic fluorescence diagnosis of malignant intra-abdominal tumors. Experimental study. Surg Endosc 15: 196–199CrossRefPubMed
5.
go back to reference Gahlen J, Prosst RL, Pietschmann M, Haase T, Rheinwald M, Skopp G, Stern J, Herfarth C (2002) Laparoscopic fluorescence diagnosis for intraabdominal fluorescence targeting of peritoneal carcinosis: experimental studies. Ann Surg 235: 252–260CrossRefPubMed Gahlen J, Prosst RL, Pietschmann M, Haase T, Rheinwald M, Skopp G, Stern J, Herfarth C (2002) Laparoscopic fluorescence diagnosis for intraabdominal fluorescence targeting of peritoneal carcinosis: experimental studies. Ann Surg 235: 252–260CrossRefPubMed
6.
go back to reference Gahlen J, Prosst RL, Pietschmann M, Rheinwald M, Haase T, Herfarth C (1999) Spectrometry supports fluorescence staging laparoscopy after intraperitoneal aminolevulinic acid lavage for gastrointestinal tumors. J Photochem Photobiol B 52: 131–135CrossRefPubMed Gahlen J, Prosst RL, Pietschmann M, Rheinwald M, Haase T, Herfarth C (1999) Spectrometry supports fluorescence staging laparoscopy after intraperitoneal aminolevulinic acid lavage for gastrointestinal tumors. J Photochem Photobiol B 52: 131–135CrossRefPubMed
7.
go back to reference Gahlen J, Stern J, Pressmar J, Bohm J, Holle R, Herfarth C (2000) Local 5-aminolevulinic acid application for laser light-induced fluorescence diagnosis of early staged colon cancer in rats. Lasers Surg Med 26: 302–307CrossRefPubMed Gahlen J, Stern J, Pressmar J, Bohm J, Holle R, Herfarth C (2000) Local 5-aminolevulinic acid application for laser light-induced fluorescence diagnosis of early staged colon cancer in rats. Lasers Surg Med 26: 302–307CrossRefPubMed
8.
go back to reference Haberle B, Bode U, von Schweinitz D (2003) Differentiated treatment protocols for high- and standard-risk hepatoblastoma—an interim report of the German Liver Tumor Study HB 99. Klin Padiatr 215: 159–165PubMed Haberle B, Bode U, von Schweinitz D (2003) Differentiated treatment protocols for high- and standard-risk hepatoblastoma—an interim report of the German Liver Tumor Study HB 99. Klin Padiatr 215: 159–165PubMed
9.
go back to reference Loning M, Diddens H, Kupker W, Diedrich K, Huttmann G (2004) Laparoscopic fluorescence detection of ovarian carcinoma metastases using 5-aminolevulinic acid-induced protoporphyrin IX. Cancer 100: 1650–1656PubMed Loning M, Diddens H, Kupker W, Diedrich K, Huttmann G (2004) Laparoscopic fluorescence detection of ovarian carcinoma metastases using 5-aminolevulinic acid-induced protoporphyrin IX. Cancer 100: 1650–1656PubMed
10.
go back to reference Ludicke F, Gabrecht T, Lange N, Wagnieres G, Van Den Bergh H, Berclaz L, Major AL (2003) Photodynamic diagnosis of ovarian cancer using hexaminolaevulinate: a preclinical study. Br J Cancer 88: 1780–1784PubMed Ludicke F, Gabrecht T, Lange N, Wagnieres G, Van Den Bergh H, Berclaz L, Major AL (2003) Photodynamic diagnosis of ovarian cancer using hexaminolaevulinate: a preclinical study. Br J Cancer 88: 1780–1784PubMed
11.
go back to reference Peng Q, Warloe T, Berg K, Moan J, Kongshaug M, Giercksky KE, Nesland JM (1997) 5-Aminolevulinic acid-based photodynamic therapy. Clinical research and future challenges. Cancer 79: 2282–2308CrossRefPubMed Peng Q, Warloe T, Berg K, Moan J, Kongshaug M, Giercksky KE, Nesland JM (1997) 5-Aminolevulinic acid-based photodynamic therapy. Clinical research and future challenges. Cancer 79: 2282–2308CrossRefPubMed
12.
go back to reference Prosst RL, Winkler S, Boehm E, Gahlen J (2002) Thoracoscopic fluorescence diagnosis (TFD) of pleural malignancies: experimental studies. Thorax 57: 1005–1009CrossRefPubMed Prosst RL, Winkler S, Boehm E, Gahlen J (2002) Thoracoscopic fluorescence diagnosis (TFD) of pleural malignancies: experimental studies. Thorax 57: 1005–1009CrossRefPubMed
13.
go back to reference Schnater JM, Köhler E, Bruder E, Bertschin S, Woodtli T, Pietsch T, von Schweinitz D, Lamers WH, Aronson DC (2002) An animal model for human hepatoblastoma. In: Siewert JR, Neugebauer E, Hartel W (eds) Chirurgisches forum 2002. Springer, Berlin Heidelberg Schnater JM, Köhler E, Bruder E, Bertschin S, Woodtli T, Pietsch T, von Schweinitz D, Lamers WH, Aronson DC (2002) An animal model for human hepatoblastoma. In: Siewert JR, Neugebauer E, Hartel W (eds) Chirurgisches forum 2002. Springer, Berlin Heidelberg
14.
go back to reference Schnater JM, Kohler SE, Lamers WH, von Schweinitz D, Aronson DC (2003) Where do we stand with hepatoblastoma? A review. Cancer 98: 668–678CrossRefPubMed Schnater JM, Kohler SE, Lamers WH, von Schweinitz D, Aronson DC (2003) Where do we stand with hepatoblastoma? A review. Cancer 98: 668–678CrossRefPubMed
15.
go back to reference Zaak D, Kriegmair M, Stepp H, Baumgartner R, Oberneder R, Schneede P, Corvin S, Frimberger D, Knuchel R, Hofstetter A (2001) Endoscopic detection of transitional cell carcinoma with 5-aminolevulinic acid: results of 1012 fluorescence endoscopies. Urology 57: 690–694CrossRefPubMed Zaak D, Kriegmair M, Stepp H, Baumgartner R, Oberneder R, Schneede P, Corvin S, Frimberger D, Knuchel R, Hofstetter A (2001) Endoscopic detection of transitional cell carcinoma with 5-aminolevulinic acid: results of 1012 fluorescence endoscopies. Urology 57: 690–694CrossRefPubMed
Metadata
Title
Videoscopic fluorescence diagnosis of peritoneal and thoracic metastases from human hepatoblastoma in nude rats
Authors
H. Till
F. Bergmann
R. Metzger
B. Haeberle
K. Schaeffer
D. von Schweinitz
R. L. Prosst
Publication date
01-11-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0316-1

Other articles of this Issue 11/2005

Surgical Endoscopy 11/2005 Go to the issue