Dauplat J, Rodier J F, Issert B, Giraud B
J Chir (Paris). 1986 Apr;123(4):251-4.
Surgery for recurrence of malpighian epithelioma of uterine cervix was performed in 14 patients, exenteration being necessary in 10 cases (5 anterior, 4 total and 1 posterior). Possibilities of surgical excision of recurrences are limited (10 to 20% of cases) and should not be considered except after a careful general, local and regional investigation including, if necessary, and exploratory laparotomy. This recovery surgery must be preceded by high-dose irradiation. This partly explains the high incidence of exenterations, with the need for cutaneous bypass of urine and/or fecal matter, but also the high prevalence of postoperative complications and mortality. Long-term results are deceiving and a 5-year survival rate of 20% appears to be maximum obtainable. However, this surgery remains the only solution capable of providing the patients with a chance, and it very often relieves them of the painful course of a pelvic tumor.
对14例子宫颈马尔皮基上皮瘤复发患者实施了手术，其中10例（5例前盆腔脏器清除术、4例全盆腔脏器清除术和1例后盆腔脏器清除术）需要进行盆腔脏器清除术。复发病灶的手术切除可能性有限（占病例的10%至20%），除非在进行仔细的全身、局部和区域检查（必要时包括探查性剖腹术）之后，否则不应考虑手术切除。这种补救性手术必须在大剂量放疗之前进行。这部分解释了盆腔脏器清除术的高发生率，以及尿液和/或粪便的皮肤旁路需求，同时也解释了术后并发症和死亡率的高发生率。长期结果具有欺骗性，20%的5年生存率似乎是所能达到的最高值。然而，这种手术仍然是唯一能够为患者提供机会的解决方案，而且它常常能使患者摆脱盆腔肿瘤的痛苦病程。
