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本文总结分析中山医科大学肿瘤医院自1964年1月至1985年12月,综合或单独应用放射治疗外阴癌39例的治疗方法及疗效.其中37例首次治疗,另2例在外院手术后复发再次治疗.在本组资料中,鳞癌37例,乳头状瘤癌变及腺鳞混合癌各1例.治疗方法及疗效:①单独放射治疗11例,包括病灶镭模敷贴、~(60)Co 针组织间插植、高能X 线外照射等,5年生存5例.②外阴病灶切除加外阴高能X 线外照射2例,均生存.③外阴广泛切除加腹股沟区放射16例,生存4例.④根治术后加腹股沟、盆髂区外照射10例,生存3例.本文结合文献讨论了放射治疗在外阴癌治疗中的应用.
This article summarizes and analyzes the treatment and efficacy of 39 cases of radiotherapy vulvar cancer combined with or without radiotherapy from January 1964 to December 1985 in Cancer Hospital of Sun Yat-sen University from January 1964 to December 1985. Among them, 37 patients were treated for the first time and the other 2 patients relapsed after the operation in the hospital In this group of data, 37 cases of squamous cell carcinoma, papillary tumor and adenosquamous carcinoma in 1 case.Methods and efficacy: ① Radiotherapy alone in 11 cases, including the lesion radium mode dressing, ~ (60) Co 5 cases of 5-year survival.②The excision of vulvar lesion plus external high-energy X-ray external irradiation in 2 cases, all survived.③The vulvar extensive resection plus inguinal area radiotherapy in 16 cases and survival in 4 cases .④ Radical surgery plus groin, pelvic iliac extracorporeal irradiation in 10 cases, 3 cases of survival.This article with the literature discussed the application of radiation therapy in the treatment of vulvar cancer.