Vavra N, Kucera H, Weghaupt K
Ordinariat für Gynäkologische Strahlentherapie der Universität Wien.
Arch Gynecol Obstet. 1989;245(1-4):525-8. doi: 10.1007/BF02417405.
Clinical data on 669 patients with invasive squamous cell carcinoma of the vulva were seen between 1952 and 1982. All of these patients were available for 5-year evaluation. The crude survival for these patients was 62%, and the "cleaned" 5-year survival for 585 patients was 70%. All patients were treated with radical vulvectomy using the warm knife and open-wound technique. Treatment of the regional lymph nodes was performed by irradiation alone. This simple surgical technique in combination with radiotherapy applied only to the inguinal lymph nodes gives an excellent result without the complications associated with aggressive surgery.
1952年至1982年间，共观察了669例浸润性外阴鳞状细胞癌患者的临床资料。所有这些患者均接受了5年评估。这些患者的粗生存率为62%，585例患者的“校正后”5年生存率为70%。所有患者均采用热刀和开放伤口技术进行根治性外阴切除术。区域淋巴结的治疗仅采用放疗。这种简单的手术技术与仅应用于腹股沟淋巴结的放疗相结合，取得了优异的效果，且没有与激进手术相关的并发症。
