Meier H M, Schopohl B
Frauenklinik, Hospital zum hl. Geist.
Zentralbl Gynakol. 1995;117(3):160-3.
We report on a patient with a total prolapse of the uterus and extensive local vaginal carcinoma. The different therapeutic possibilities are discussed with reference to the case in hand. The primary therapeutic considerations encompass surgery, radiotherapy or chemotherapy. Surgery is preferred in early cases especially when the tumor is located high in the vagina. Due to early invasion of bladder or rectum and particularly in older patients primary radiotherapy is very common. In this case radiotherapy and not surgery was performed in spite of total uterine prolapse, thus achieving a NED-stage of tumor together with retraction of the prolapse.
我们报告了一例子宫完全脱垂并伴有广泛局部阴道癌的患者。结合手头病例讨论了不同的治疗可能性。主要的治疗考虑包括手术、放疗或化疗。早期病例首选手术，尤其是肿瘤位于阴道高位时。由于膀胱或直肠早期受侵，特别是老年患者，原发性放疗非常常见。在本病例中，尽管子宫完全脱垂，但仍进行了放疗而非手术，从而使肿瘤达到无疾病证据状态，同时脱垂回缩。
