Brandenberger A W, Hänggi W, Gasser A, Dreher E
Universitäts-Frauenklinik, Inselspital, Bern, Schweiz.
Gynakol Rundsch. 1991;31(2):77-88.
Between 1978 and 1987, 44 women with primary invasive carcinoma of the vulva were treated. The mean age of the patients was 69 years (24-91). The predominant histologic type was squamous cell carcinoma. Thirteen radical vulvectomies were performed. Various other vulvar operative procedures were performed on 27 cases and were followed up with or without radiation therapy. The 5-year survival rate was 80% in stage T1 patients, 58% in T2 and 40% in T3. Patients with negative lymph nodes had a survival rate of 79% after 5 years and those with positive nodes a survival rate of 40%. A modified radical vulvectomy was performed: to the Pary-Jones incision we use an additional groin incision. The advantage is better wound healing as compared to Way's technique.
1978年至1987年间，对44例原发性外阴浸润癌女性患者进行了治疗。患者的平均年龄为69岁（24 - 91岁）。主要组织学类型为鳞状细胞癌。实施了13例根治性外阴切除术。对27例患者进行了各种其他外阴手术操作，并在有或无放射治疗的情况下进行了随访。T1期患者的5年生存率为80%，T2期为58%，T3期为40%。淋巴结阴性的患者5年后生存率为79%，淋巴结阳性的患者生存率为40%。实施了改良根治性外阴切除术：在帕里 - 琼斯切口的基础上，我们增加了腹股沟切口。与韦氏技术相比，其优点是伤口愈合更好。
