Weghaupt K
Strahlentherapie. 1978 Feb;154(2):89-93.
At the Ist Gynecologic University-Clinic of Vienna 292 patients with vulvar carcinoma were admitted and treated in the years 1952--1970. The therapy was an electroresection and -coagulation of the primary tumor, followed, if necessary, by a surgical dissection of the inguinal groin. An electrocoagulation is indicated for the more extended cases, too--a local healing in 97% of the cases is obtained in this way. The inguinal dissection was progressively replaced by telecobalt-irradiation (6000 rd). Of the 292 cases 139 of 47.6% presented palpable nodes and only 56 patients were operated. 79.3% were aged between 61 and 90 years. Of the 292 cases 167 or 57.4% were cured for five years or more. The primary mortality was 1% (three cases). 40 patients (13.3%) died of intercurrent diseases.
1952年至1970年间，维也纳第一妇科大学诊所收治并治疗了292例外阴癌患者。治疗方法是对原发肿瘤进行电切除和电凝，必要时随后进行腹股沟淋巴结清扫术。对于病情更严重的病例也可采用电凝治疗——通过这种方式，97%的病例可实现局部愈合。腹股沟淋巴结清扫术逐渐被远距离钴照射（6000拉德）所取代。在这292例病例中，139例（47.6%）可触及淋巴结，只有56例患者接受了手术。79.3%的患者年龄在61岁至90岁之间。在这292例病例中，167例（57.4%）存活了五年或更长时间。原发性死亡率为1%（3例）。40例患者（13.3%）死于并发疾病。
