Aminolevulinic acid photodynamic therapy for extensive genital extramammary Paget disease in older patients: A retrospective clinical case series.
Xu Ji, Li Ma, Yu Xin Ding et al.
✦ AI-curated · Sources linked
Case in brief
Three older patients with extensive extramammary Paget disease (EMPD) affecting sensitive genital areas were treated with aminolevulinic acid photodynamic therapy (ALA-PDT) after declining surgery. Following treatment, erosive areas re-epithelialized, and nodular lesions significantly reduced. Patients experienced rapid relief from pruritus and local pain, with no signs of regrowth during a 12-month follow-up.
Diagnostic / clinical pearl
ALA-PDT can provide effective symptom relief and clinical control in older patients with extensive EMPD who are unsuitable for surgery.