Micheletti L, Preti M, Zola P, Zanotto Valentino M C, Bocci C, Bogliatto F
Department of Gynecology and Obstetrics, University of Torino, Italy.
Cancer. 1998 Oct 1;83(7):1369-75.
The authors' objective was to provide a glossary of terminology related to the surgical treatment of invasive vulvar carcinoma. There is currently no consensus in the literature regarding the names of the surgical procedures used to treat this disease.
A surgical glossary should be supported by clear definitions and acceptance of notions related to topographic anatomy that are specific to the surgical practice. A critical review of the classic, chiefly used Italian, French, German, and English textbooks of anatomy revealed some discrepancies and lack of uniformity in descriptions of vulvar and inguinal fascial structures and lymph nodes, which represent the principal landmarks of surgical treatment. In the proposed glossary, the descriptions of these anatomic landmarks integrate classic anatomic knowledge, data from recent gynecologic studies of inguinal anatomy, and the clinical experiences of the authors.
The glossary is composed of 16 surgical definitions, which are divided into 3 main sections of terminology describing the surgical treatment of the: 1) vulva, 2) inguinal lymph nodes, and 3) pelvic lymph nodes. The fundamental objective behind the glossary is to describe the area and the depth of the surgical procedure. Three determinants of the area (local, partial, and total) and three determinants of the depth of surgery (superficial, simple, and deep) were used to arrive at the fully articulated definitions in the glossary.
The authors are aware that the proposed glossary should not be considered a definitive one; however, it could serve as a good basis for further debate. The terms employed in the glossary are accompanied by anatomic and descriptive references to help avoid confusion and promote better understanding among gynecologic oncologists who are involved in the treatment of vulvar carcinoma.
作者的目的是提供一份与浸润性外阴癌手术治疗相关的术语表。目前，关于用于治疗该疾病的手术名称，文献中尚无共识。
手术术语表应得到明确的定义以及对手术实践中特定的局部解剖学概念的认可的支持。对经典的、主要使用的意大利语、法语、德语和英语解剖学教科书进行批判性回顾后发现，在外阴和腹股沟筋膜结构以及淋巴结的描述上存在一些差异且缺乏一致性，而这些结构是手术治疗的主要标志。在拟议的术语表中，这些解剖标志的描述整合了经典解剖学知识、近期腹股沟解剖学妇科研究的数据以及作者的临床经验。
该术语表由16个手术定义组成，分为3个主要术语部分，描述了以下方面的手术治疗：1）外阴，2）腹股沟淋巴结，3）盆腔淋巴结。该术语表背后的基本目标是描述手术的范围和深度。使用了三个范围决定因素（局部、部分和全部）以及三个手术深度决定因素（浅表、简单和深部）来得出术语表中完整阐述的定义。
作者意识到拟议的术语表不应被视为最终版本；然而，它可以作为进一步辩论的良好基础。术语表中使用的术语伴有解剖学和描述性参考，以帮助避免混淆，并促进参与外阴癌治疗的妇科肿瘤学家之间的更好理解。
