Iyibozkurt A C, Dural O C, Topuz S, Berkman S, Bengisu E
Department of Obstetrics and Gynaecology, Division of Gynaecological Oncology, Istanbul University Faculty of Medicine, Istanbul, Turkey.
Eur J Gynaecol Oncol. 2010;31(3):354-6.
Stage IA vulvar cancer with a depth of stromal invasion less than 1 mm is generally managed by wide local excision alone since there is less than 1% risk of lymph node involvement.
A 62-year-old patient was admitted to a university hospital with a suspicious vulvar lesion.
We present the first case of inguinal node and a possible contralateral pubic ramus recurrence following bilateral superficial inguinal lymphadenectomy and wide local resection for Stage 1A vulvar cancer.
There is no evidence that extended radical surgery provides a better overall survival or reduces recurrence rate in Stage 1A vulvar carcinomas. Conservative vulvar resection and sentinel node dissection seem to be a rational choice. Nevertheless the disease may recur in the inguinal areas and frequently be lethal, therefore close surveillance and early attempts to treat the recurrent disease before infection and inflammation ensues should be the aim of current treatment strategies.
IA期外阴癌，间质浸润深度小于1mm，由于淋巴结受累风险小于1%，一般仅通过广泛局部切除进行治疗。
一名62岁患者因可疑外阴病变入住大学医院。
我们报告了首例IA期外阴癌患者在双侧腹股沟浅淋巴结清扫术和广泛局部切除术后出现腹股沟淋巴结及可能的对侧耻骨支复发的病例。
没有证据表明扩大根治性手术能提高IA期外阴癌的总体生存率或降低复发率。保守性外阴切除和前哨淋巴结清扫似乎是合理的选择。然而，该病可能在腹股沟区域复发并常常致命，因此密切监测并在感染和炎症发生之前尽早尝试治疗复发性疾病应是当前治疗策略的目标。
