Ballon S C, Lagasse L D, Chang N H, Stehman F B
Surg Gynecol Obstet. 1979 Aug;149(2):233-7.
The characteristics and treatment of eight patients with primary adenocarcinoma of the vagina were reviewed. Cytologic smears of the vagina aided in the diagnosis of adenocarcinoma but, less often, detected vaginal adenosis. Good correlation existed between the degree of differentiation of the primary tumor and the tendency toward lymphatic spread. The clinical stage, size of the primary lesion, presence and duration of symptoms and lymphangiographic findings were not helpful in this regard. Pretreatment lymphadenectomy as a basis for operative staging demonstrated the critical importance of the status of the lymph nodes in the planning of therapy and determination of prognosis. Vaginal reconstruction and ovarian preservation facilitated rehabilitation.
回顾了8例原发性阴道腺癌患者的特征及治疗情况。阴道细胞学涂片有助于腺癌的诊断，但较少能检测到阴道腺病。原发肿瘤的分化程度与淋巴转移倾向之间存在良好的相关性。在这方面，临床分期、原发灶大小、症状的存在及持续时间和淋巴管造影结果并无帮助。术前淋巴结切除术作为手术分期的基础，显示了淋巴结状态在治疗计划制定和预后判定中的关键重要性。阴道重建和卵巢保留有助于康复。
