Ballon S C, Lamb E J
Surg Gynecol Obstet. 1975 Jan;140(1):81-4.
A modified surgical technique, using separate incisions for vulvectomy and for each groin, resulted in a low morbidity rate, with no increase in tumor recurrence and no reduction in length of survival time in comparison with previously reported methods of treatment of invasive squamous carcinoma of the vulva. The clinical staging adopted by the International Federation of Gynaecology and Obstetrics accurately predicted survival time for patients in this series as in others. However, in instances in which the histologic status of the nodes differs from the clinical assessment, postsurgical staging with primary importance attached to the histologic evaluation more accurately predicts prognosis.
一种改良的手术技术，即在外阴切除术和每个腹股沟处采用单独切口，导致发病率较低，与先前报道的外阴浸润性鳞状癌治疗方法相比，肿瘤复发率没有增加，生存时间也没有缩短。国际妇产科联合会采用的临床分期与其他系列一样，准确地预测了本系列患者的生存时间。然而，在淋巴结的组织学状态与临床评估不同的情况下，以组织学评估为首要依据的术后分期能更准确地预测预后。
