现代妇产科进展2012,Vol.21Issue(1):51-54,4.
外阴癌33例的临床资料及预后分析
Clinical data and prognostic analysis of 33 cases vulvar cancer
谢玲玲 1卢淮武 1陆晓楣 1姚婷婷 1林仲秋1
作者信息
- 1. 中山大学附属孙逸仙纪念医院妇产科,广州510120
- 折叠
摘要
Abstract
Objective:To summarize the clinical data,treatments and evaluate the prognostic factors of 33 vulvar cancer. Methods: Thirty three cases with vulvar cancer admitted in our hospital from Jan. 1990 to Feb. 2011 were retrospectively analyzed. Statistical package for social sciences (SPSS) was used to compare the different clinical characteristics and analyze the prognostic factors. Results:Twenty patients (60.6% ) had squamous cell carcinoma and fifteen of them (75.0% ) were well differentiated and one poorly differentiated, two had basal cell carcinoma,four had malignant melanoma,four had extramammary Paget's disease,one had epi-thelioid sarcoma, one had adenoid cystic carcinoma, one had verrucpus carcinoma. According to the International Federation of Gynecologists and Obstetricians ( FIGO) and American joint committee on cancer ( AJCC) classification, nine cases (27. 3%) were in stage I ; forteen (42.4% ) in stage E ;nine (27. 3% ) in stage III ;one (3. 0% ) in stage IV. Median survival time for patients with or without lymph nodes involvement were 21. 5 and 43. 0 months(P< 0.05 ). Median survival time for patients with lateral or median cancer were 40. 0 and 20. 5 months (P<0.05). Conclusions; The important prognostic factors for vulvar cancer were sites (lateral/median) , stage, differentiation and lymph nodes involvement. Individualized treatment should be considered.关键词
外阴肿瘤/个体化治疗/预后Key words
Vulvar neoplasms/Individualized therapy/Prognosis分类
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谢玲玲,卢淮武,陆晓楣,姚婷婷,林仲秋..外阴癌33例的临床资料及预后分析[J].现代妇产科进展,2012,21(1):51-54,4.