44例中晚期外阴癌疗效分析

Combination Treatment Analyses of Middle and Advanced Stage Vulvar Carcinoma of 44 Cases

本文报道了１９７６年至１９９２年间本科收治的４４例中晚期外阴癌。其中６０岁以上的占４３％。临床主要表现为阴部肿块、搔痒、流水及疼痛等症状。按照ＦＩＧＯ分期。４４例中Ⅰ期１６例，Ⅲ期２５例，Ⅳ期３例。随访率达９３％，经放疗、手术、化疗的综合治疗。全组１、３、５年生存率分别为９３％、６４％、４３％。作者认为中晚期外阴癌仍以综合治疗为宜。

From 1976 to 1992, 44 patients with middle and advanced stage vulvar carcinoma were treated by radical vulvectomy combined with radiation therapy and chemotherapy in our hospital. The age of patients over 60 years was 43 percent.The most common presentation was a vulvar mass which has begun to enlarge, orproduce pruritus or a serous discharge. According to the FIGO stage. 16 cases was with stage Ⅲ; 25 cases stageⅢand 3 cases stage Ⅳ. 43% cases was followed up.1. 3, 5-year survival rates for this study were 93%; 64%; 43%, respectively. According to this report, it has demonstrated that radical vulvectomy combined with radiation therapy and chemotherapy is superior to alone treatment.