Lochmüller H
Radiologe. 1983 Jan;23(1):24-8.
In carcinoma of the vulva radical vulvectomy and lymphadenectomy are the treatments of choice if general, condition of the patient size and site of tumor are apt for surgery. The alternative method in high risk patients is a combination of surgical and radiotherapeutic treatment like electrocoagulation, resection, and radiation of the lymph vessels or electroresection and local electron-radiation at the surgically exposed area as well as inguinal and iliacal telecobalt treatment of the lymphnodes sometimes combined with selective lymphadenectomy. Radiation therapy itself as primary treatment seems to be inferior to other methods. The interstitial radiation treatment is only indicated in recurrencies or small tumors which are located in regions which are difficult to reach by surgery.
对于外阴癌，如果患者的一般状况、肿瘤大小及部位适合手术，根治性外阴切除术及淋巴结切除术是首选治疗方法。对于高危患者，替代方法是手术与放射治疗相结合，如淋巴管电凝、切除及放疗，或在手术暴露区域进行电切除及局部电子放疗，以及对腹股沟和髂淋巴结进行远距离钴治疗，有时还结合选择性淋巴结切除术。单纯放疗作为主要治疗方法似乎不如其他方法。组织间放疗仅适用于复发肿瘤或位于手术难以触及区域的小肿瘤。
