Krupp P J, Lee F Y, Bohm J W, Nicholls R A, Batson H W
Obstet Gynecol. 1975 Oct;46(4):433-8.
Exenteration for Stage IV cancer of the vulva is feasible and desirable, with expected 5-year survival rates of 34-57%. A team of gynecologic oncologists operating simultaneously has the cohesion to reduce operating time, surgical fatigue, and perhaps morbidity and mortality. Data indicate that ultraradical surgery in the 71-year and over age group is nonproductive of salvage and should be individualized critically. Patient selection, attention to detail, and use of the proper surgical procedure are all important in improving results.
对于IV期外阴癌行广泛切除术是可行且可取的，预计5年生存率为34% - 57%。一组妇科肿瘤学家同时进行手术，具有凝聚力，可减少手术时间、手术疲劳，或许还能降低发病率和死亡率。数据表明，71岁及以上年龄组的超根治性手术无法挽救生命，应严格个体化。患者选择、注重细节以及采用恰当的手术方式对于改善治疗效果均至关重要。
