外阴癌诊治进展

The research progress of vulvar cancer

外阴癌为女性外阴部恶性肿瘤,占女性恶性肿瘤的3%~5%,常常在绝经后妇女中发生,常常与人乳头瘤状病毒、外阴上皮内瘤变、外阴硬化性苔藓等病因相关。大约90%的外阴癌为鳞状细胞癌,治疗方式以手术为主,手术方式从以前并发症较多的传统开放手术逐渐发展更为针对的个性化治疗,治愈率上升的同时并发症也大幅度减少。在一些新的领域包括腹腔镜下淋巴结清扫、放化疗的应用、淋巴结活组织检查以及穿支皮瓣在外阴重建的应用等外阴癌诊治都有新进展。

Vulvar cancer accounting for 3%-5% of gynecologic malignancies,often occurs in postmenopausal women,often with the human papillomavirus,vulvar intraepithelial neoplasia,lichen sclerosus and other related causes.About 90% of vulvar cancer is squamous cell carcinoma,treatment with surgery.surgical from the previous traditional open surgery gradually develop more personalized,treatment for the cure rate increased and complications can be significantly reduced.New advances have been made in the diagnosis and treatment of vulvar cancer,including video endoscopicinguinal lymphadenectomy,radiotherapy and chemotherapy,lymph node biopsy,and Vulvar Reconstruction.