Rosmanich A, Briones H, Espinoza A, Dabancens A
Departamento de Obstetricia y Ginecología y Anatomía Patológica, Hospital Clínico J. J. Aguirre, Universidad de Chile.
Rev Chil Obstet Ginecol. 1994;59(2):87-94.
We present our experience at University of Chile Clinical Hospital, about superficial scamous vulvar carcinoma, during January, 1967 and april, 1992. We studied eight patients, mean age 57.1 years. Diagnostic was histopathologic in all cases. Three patients were submitted to simple total vulvectomy; other three were treated by total vulvectomy and bilateral inguinal lymphadenectomy (classic form of treatment). The other two cases, were submitted to simple in one case and partial vulvectomy in other, with lymphadenectomy by separate bilateral inguinal incisions. Histopathological study proved in situ scamous carcinoma near invasive focus at 50% of all cases. Follow up was between 2 and 25 years, mean 10.5 years. In one patient, carcinoma in situ relapsed at 2 years and 8 months after treatment, and then, at 8 years after primitive treatment. In other patient, and anal carcinoma was demonstrated 20 years after vulvectomy.
我们介绍了1967年1月至1992年4月期间，我们在智利大学临床医院治疗浅表性外阴鳞状细胞癌的经验。我们研究了8例患者，平均年龄57.1岁。所有病例均经组织病理学诊断。3例患者接受了单纯全外阴切除术；另外3例采用全外阴切除术和双侧腹股沟淋巴结清扫术（经典治疗方式）。另外2例，1例接受了单纯外阴切除术，另1例接受了部分外阴切除术，并通过双侧腹股沟单独切口进行淋巴结清扫。组织病理学研究表明，50%的病例在浸润灶附近存在原位鳞状细胞癌。随访时间为2至25年，平均10.5年。1例患者在治疗后2年8个月原位癌复发，随后在初始治疗8年后再次复发。另1例患者在外阴切除术后20年发现肛门癌。
