title: Comparison between photodynamic therapy with topical application of 5-aminolevulinic acid and CO2 laser therapy in the treatment of cervical condylomata acuminate: a randomized controlled trial.
abstract: The present study aimed to evaluate the efficacy of photodynamic therapy with topical applied 5-aminolevulinic acid (ALA-PDT) for the treatment of cervical condylomata accuminate (CA). 161 Patients with cervical CA were randomly divided into ALA-PDT group and CO2 laser (control) group. Patients (n=89) in the ALA-PDT group were treated with topical 5% ALA under occlusive dressing for 3 h followed by irradiation with semiconductor laser at a dose of 1000 J/cm(-2) and a power of 100 mW. Patients were treated 2 weeks later if necessary. Patients (n=72) in the control group were treated with CO2 laser. The treatment was repeated at 1-week interval when necessary. No response rate, complete response rate (CR) and recurrence rate of wart lesions as well as rate of eradication of HPVs were analyzed. The CR rate was 90.2% in the ALA-PDT group and 96.2% in the control group. The eradication rate was 90.2% in the ALA-PDT group and 65.8% in the control group after 3 months of follow-up. Both the eradication rate and recurrence rate in the ALA-PDT group were significantly lower than those in the control group (P<0.001). The adverse event in patients receiving ALA-PDT was mainly mild bleeding. ALA-PDT is a more effective and well-tolerated treatment for cervical CA compared with conventional CO2 laser therapy.
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Juan
authors.initials: J
authors.lastname: Du
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Xiao-Nian
authors.initials: XN
authors.lastname: Lu
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Li
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Duo-Qin
authors.initials: DQ
authors.lastname: Wang
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Xu
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Liang
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Tang
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Yong-Sheng
authors.initials: YS
authors.lastname: Yang
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Xiao-Hua
authors.initials: XH
authors.lastname: Zhu
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Jin-Ran
authors.initials: JR
authors.lastname: Lin
authors.affiliation: Department of Dermatology, Huashan Hospital, Fudan University Shanghai 200040, China.
authors.forename: Jin-Hua
authors.initials: JH
authors.lastname: Xu
keywords: 5-aminolaevulinic acid; cervical condylomata acuminate; photodynamic therapy