Wienold J, Kästner I, Richter B
Klinik und Poliklinik für Gynäkologie und Geburtshilfe, Medizinischen Akademie Carl Gustav Carus, Dresden, Bundesrepublik Deutschland.
Zentralbl Gynakol. 1991;113(22):1256, 1261-7.
From 1954 to 1985 211 woman with carcinoma of the vulva were treated at the medical college Dresden. 66 patients were found at the FIGO stage I, 69 at stage II, 50 at stage III, 18 at stage IV; 8 could not be classified. In the total group of woman the cumulative survival rate due to the different stages were: 72% at stage I, 56% at stage II, 28% at stage III and 13% at stage IV. The 5-year survival rates were different in women undergoing a total vulva operation (76%) from vulvectomized women (60%) and partial vulvectomized woman (48%). So the total vulva operation had a great effect on outcome. In female patients which underwent palliative surgical treatment the survival rate could be increased by means of the postoperative radiation therapy. It is a matter of outstanding importance to the vulva carcinoma prognosis to operate radically and as soon as possible.
1954年至1985年期间，德累斯顿医学院共收治了211例外阴癌患者。国际妇产科联盟（FIGO）分期为I期的患者有66例，II期69例，III期50例，IV期18例；8例无法分期。在所有女性患者中，不同分期的累积生存率分别为：I期72%，II期56%，III期28%，IV期13%。接受全外阴切除术的女性5年生存率（76%）与接受外阴切除的女性（60%）和部分外阴切除的女性（48%）不同。因此，全外阴切除术对治疗结果有很大影响。在接受姑息性手术治疗的女性患者中，术后放疗可提高生存率。对外阴癌的预后而言，尽早进行根治性手术至关重要。
