Ordon Wojciech, Malinowski Andrzej, Pawłowicz Paweł
Klinka Ginekologii Operacyjnej i Endoskopowej, Klinika Terapii Płodu, Instytut Centrum Zdrowia Matki Polki w Łodzi.
Ginekol Pol. 2008 Jan;79(1):60-4.
The following is a case report documenting a 53-year old patient with extremely advanced vulva cancer (stage IV). The patient needed urgent operative treatment because of massive bleeding from large tumor located inside and out of the vagina. The prime step was to stop tumor hemorrhage, perform cystotomy and decompression of the urinary bladder and exteriorization of artificial anus. Second operation was a conventional oncologic procedure, which contained: radical vulectomy, hysterosalpingo-oophorectomy, cystectomy with excision of the urethra, the excision of almost the entire vagina, lymphadnectomy of the left inguinal lymph nodes and iliac lymph nodes. In spite of the surgical treatment, the patient died at the fourth day after the second operation.
以下是一份病例报告，记录了一名53岁患有极晚期外阴癌（IV期）的患者。由于阴道内外的巨大肿瘤大量出血，患者需要紧急手术治疗。首要步骤是止血、进行膀胱切开术和膀胱减压以及人工肛门造口术。第二次手术是常规的肿瘤手术，包括：根治性外阴切除术、子宫输卵管卵巢切除术、膀胱切除术并切除尿道、几乎切除整个阴道、左腹股沟淋巴结和髂淋巴结清扫术。尽管进行了手术治疗，患者在第二次手术后第四天死亡。
