Hilgers R D
Obstet Gynecol. 1975 Feb;45(2):175-80.
The English language literature for the years 1935-1972 was reviewed to assess the effect of pelvic exenteration on vaginal embryonal rhabdomyosarcoma. Twenty-one cases were determined eligible for review. Tumor was confined to the vagina in 8 cases and extended beyond the vagina in 13 cases. Treatment by pelvic exenteration was found to be relatively ineffective means of curing patients with tumor extending beyond the limits of the vagina. Recent evidence from the literature indicates that better results can be obtained by coordinated treatment, ie, surgery, radiation therapy, and/or chemotherapy, than by surgery alone.
回顾了1935年至1972年的英文文献,以评估盆腔脏器清除术对阴道胚胎性横纹肌肉瘤的疗效。确定了21例符合审查条件的病例。8例肿瘤局限于阴道,13例肿瘤超出阴道范围。对于肿瘤超出阴道范围的患者,盆腔脏器清除术被发现是一种相对无效的治疗方法。文献中的最新证据表明,通过手术、放疗和/或化疗等综合治疗,比单纯手术能取得更好的效果。