Müller R P, Fischedick A R, Schnepper E
Strahlentherapie. 1982 Oct;158(10):594-7.
A report is given about the results of radiotherapy in 139 patients with vulvar carcinomas treated at the Radiologic University Hospital in Münster. This group of patients had undergone a very heterogenic preliminary treatment. Radiotherapy carried out mainly with 18 MeV electrons brought about a five-year survival rate of 58%. Due to the favorable action of the split course method, the incidence of side effects was very low regarding the total focal dose of 60 Gy (27% exudative reactions, 11% superficial ulcerations). Taking into account the unsurmountable difficulties caused by the high age of the patients and the numerous accompanying risk factors, the treatment results achieved during the last few years can probably only be gradually improved. After an operation performed as radically as possible, radiotherapy should aim at a low recurrence rate.
本文报告了明斯特大学放射医院收治的139例外阴癌患者的放射治疗结果。该组患者接受了非常多样化的初步治疗。主要采用18兆电子伏电子进行放射治疗，五年生存率为58%。由于分段治疗法的良好效果，对于总局部剂量60戈瑞而言，副作用发生率非常低（27%为渗出反应，11%为浅表溃疡）。考虑到患者高龄及众多伴随风险因素所带来的不可克服的困难，过去几年所取得的治疗效果可能只能逐步改善。在尽可能进行根治性手术后，放射治疗应旨在降低复发率。
