Patsner B, Mann W J
Department of Obstetrics and Gynecology, SUNY, Stony Brook School of Medicine 11794-8091.
Am J Obstet Gynecol. 1988 Mar;158(3 Pt 1):464-9. doi: 10.1016/0002-9378(88)90005-1.
With a single elliptic radical vulvectomy incision, resection of the primary tumor and bilateral superficial inguinal lymphadenectomies were performed in 18 patients with invasive squamous cell carcinoma of the vulva. Twelve patients (67%) had no morbidity from the procedure, while five patients (28%) developed significant wound breakdown and one patient (5%) developed a groin hematoma. For select patients with invasive vulvar cancer, this modification of the standard "butterfly" incision offers an acceptable surgical approach to this disease, allowing removal of the primary lesion and adequate sampling of the groin lymphatics. Results of pathologic examinations allow selection of those patients requiring further therapy.
对18例浸润性外阴鳞状细胞癌患者采用单一椭圆形根治性外阴切除术切口，进行原发肿瘤切除及双侧腹股沟浅淋巴结清扫术。12例患者（67%）术后无并发症，5例患者（28%）出现严重伤口裂开，1例患者（5%）出现腹股沟血肿。对于部分浸润性外阴癌患者，这种对标准“蝴蝶”切口的改良为该疾病提供了一种可接受的手术方法，能够切除原发灶并对腹股沟淋巴管进行充分取样。病理检查结果有助于选择那些需要进一步治疗的患者。
