Chinese medical journal · 2012
Photodynamic therapy of condyloma acuminata in pregnant women.
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Yang Yu-Guang, Zou Xian-Biao, Zhao Hua, Zhang Yun-Jie, Li Heng-Jin
Аннотация
BACKGROUND: Photodynamic therapy (PDT) with 5-aminolevulinic acid (ALA) is an emerging technique for the treatment of genital human papillomavirus (HPV)-induced benign and premalignant lesions. We report here in a case series of condyloma acuminata (CA) in pregnancy successfully treated with ALA-PDT.
METHODS: Five pregnant patients with CA received three to four times treatment respectively. Patients were followed up for 6 - 23 months after treatment.
RESULTS: The clearance rate of genital warts was 100%. No recurrence was found during the follow-up period. Major adverse events reported were mild erosion, pain, and local edema. All pregnancies resulted in healthy live births without delivery complications.
CONCLUSIONS: PDT with topical ALA seems to be safe and effective in the treatment of CA in pregnancy. It demonstrated high clearance rate of warts, was well-tolerated by patients, and showed no adverse effects on mothers or fetuses. ALA-PDT may be an ideal strategy of treatment for pregnant women with CA.
METHODS: Five pregnant patients with CA received three to four times treatment respectively. Patients were followed up for 6 - 23 months after treatment.
RESULTS: The clearance rate of genital warts was 100%. No recurrence was found during the follow-up period. Major adverse events reported were mild erosion, pain, and local edema. All pregnancies resulted in healthy live births without delivery complications.
CONCLUSIONS: PDT with topical ALA seems to be safe and effective in the treatment of CA in pregnancy. It demonstrated high clearance rate of warts, was well-tolerated by patients, and showed no adverse effects on mothers or fetuses. ALA-PDT may be an ideal strategy of treatment for pregnant women with CA.