Rat mammary tumors were treated using an 808-nm diode laser in a power
range of 3-15 W. Photothermolysis was selectively enhanced by the chr
omophore indocyanine green (ICG), which has an absorption peak corresp
onding to the laser wavelength. ICG, injected into neoplastic tissues
24 h before laser exposure, was retained in sufficient quantity to pro
duce a strong photothermal reaction. With appropriate laser power and
adequate irradiation duration, laser energy could inflict severe photo
thermal damage to the entire targeted tumor tissue while leaving the s
kin and other interdicted tissue undamaged. Higher laser powers (10-15
W) produced more surface damage that limited light transmission and a
s a result gave rise to reduced regions of thermal destruction. Post-t
reatment observation revealed the survival of numerous tumor cells. Th
is finding questions the long term efficacy of the photothermal effect
of a single treatment using the combination of the ICG and the diode
laser, particularly in the absence of other modalities.