Tsvetkov Ch, Gorchev G, Ianev N, Elenchev L, Tomov S, Khinkova N
Akush Ginekol (Sofiia). 2005;44 Suppl 2:47-50.
To review our experience in the treatment of vulvar cancer by modified radical vulvectomy (MRV) in a selected group of patients.
In a retrospective analysis of a 5-year period, we studied 8 patients with vulvar cancer who underwent MRV, and diagnosed with early T1-T2 cancer. The primary tumor and groin lymph nodes were submitted to radical surgery, applying individual approach to each patient.
In all patients, both operative and postoperative periods were uneventful and shorter as compared to patients in whom traditional approaches were used. Operative wounds healed by first intention. Until now, we have found only one local recurrence and the patient was successfully re-operated on. In all women treated by MRV we had a good cosmetic effect, as compared with patients who underwent radical vulvectomy, en-bloc resection or reconstructive surgery.
MRV can be applied as a method of choice in selected patients with early vulvar cancer.
回顾我们对一组特定患者采用改良根治性外阴切除术（MRV）治疗外阴癌的经验。
在一项为期5年的回顾性分析中，我们研究了8例行MRV的外阴癌患者，均诊断为早期T1 - T2期癌症。对原发肿瘤和腹股沟淋巴结进行根治性手术，对每位患者采用个体化方法。
与采用传统方法的患者相比，所有患者的手术期和术后恢复均顺利且时间更短。手术伤口一期愈合。截至目前，我们仅发现1例局部复发，该患者成功接受了再次手术。与接受根治性外阴切除术、整块切除或重建手术的患者相比，所有接受MRV治疗的女性均获得了良好的美容效果。
MRV可作为特定早期外阴癌患者的首选治疗方法。
