Couvreux-Dif D, Lhommé C, Querleu D, Castaigne D, Verhaeghe Y
Unité d'Oncologie Gynécologique, Pavillon Paul-Gellé, Centre Hospitalier de Roubaix, 91, avenue Julien-Lagache, 59100 Roubaix.
J Gynecol Obstet Biol Reprod (Paris). 2003 Feb;32(1):46-50.
The cancer of vulva is predominantly a disease of postmenopausal women. But some cases have been reported in young women during pregnancy. Surgical management during pregnancy depends on several factors: gestational age at the diagnosis, lesion size, depth and location, lymph node status. We have conducted a national survey and report here the only two cases of squamous cell carcinoma diagnosed and treated during pregnancy at 26 and 15 weeks gestation. All vulva symptoms without signs of infectious should be examined with attention in order to detect vulvar lesions. When in doubt, a biopsy must be obtained. Management of vulva carcinoma is not modified during pregnancy, but the age of pregnancy must be considered.
外阴癌主要是绝经后女性的疾病。但有报道称，一些年轻女性在孕期也会发病。孕期的手术治疗取决于几个因素：诊断时的孕周、病变大小、深度和位置、淋巴结状况。我们开展了一项全国性调查，在此报告仅有的两例在孕期26周和15周时诊断并治疗的鳞状细胞癌病例。所有无感染迹象的外阴症状都应仔细检查，以便发现外阴病变。如有疑问，必须进行活检。孕期外阴癌的治疗方法不变，但必须考虑孕周。
