Tarraza M H, Muntz H, Decain M, Granai O C, Fuller A
Department of Obstetrics and Gynecology, Maine Medical Center, Portland.
Eur J Gynaecol Oncol. 1991;12(2):89-92.
Ninety-two cases of primary carcinoma of the vagina treated at the Massachusetts General Hospital were reviewed from 1961 to 1981. Forty patients were found to have recurrence. Their original clinical stage, location of lesion, histologic subtype, tumor differentiation, and treatment modality were examined to predict recurrence. Staging was the only variable predictive of recurrence. Location of lesion within the vagina was predictive of the site of recurrence. Upper (distal) vagina lesions more commonly recurred locally. In contrast, lower (proximal) lesions were associated with pelvic sidewall and distant recurrence. Adequate staging at the time of initial presentation will have implications on recurrence and prognosis.
对1961年至1981年在马萨诸塞州总医院接受治疗的92例原发性阴道癌病例进行了回顾。发现40例患者出现复发。对他们最初的临床分期、病变部位、组织学亚型、肿瘤分化程度和治疗方式进行了检查，以预测复发情况。分期是唯一可预测复发的变量。阴道内病变部位可预测复发部位。阴道上段（远端）病变更常局部复发。相比之下，阴道下段（近端）病变与盆腔侧壁及远处复发相关。初次就诊时进行充分的分期对复发和预后具有重要意义。
