Phillips B, Buchsbaum H J, Lifshitz S
Am J Obstet Gynecol. 1981 Dec 15;141(8):1038-44. doi: 10.1016/s0002-9378(16)32695-3.
Between 1964 and 1978, 16 pelvic exenterations were performed for advanced and recurrent vulvovaginal carcinoma. Eight patients had Stage III carcinoma and four had recurrent vulvar carcinoma. Ten patients had involvement of the anus/sphincter, and two had involvement of the proximal half of the urethra. There were four patients with vaginal carcinoma. Two patients with recurrent vaginal carcinoma had bladder/urethral involvement; one patient each with primary vaginal carcinoma had rectovaginal and vesicovaginal septal disease. Seven patients are alive and free of disease--six for more than 5 years and one for 4 years and 4 months. Three patients died, free of disease, one each of cerebrovascular accident, traumatic subdural hematoma, and pulmonary embolus. One patient died on the ninth postoperative day of aspiration pneumonitis. The absolute 5-year survival rate is 54%.
1964年至1978年间，对晚期和复发性外阴阴道癌患者实施了16例盆腔脏器清除术。8例患者为III期癌，4例为复发性外阴癌。10例患者累及肛门/括约肌，2例累及尿道近端一半。有4例阴道癌患者。2例复发性阴道癌患者累及膀胱/尿道；1例原发性阴道癌患者有直肠阴道和膀胱阴道隔疾病。7例患者存活且无疾病——6例超过5年，1例4年4个月。3例患者无疾病死亡，分别死于脑血管意外、外伤性硬膜下血肿和肺栓塞。1例患者术后第9天死于吸入性肺炎。绝对5年生存率为54%。
