CHANGING CONCEPTS IN THE MANAGEMENT OF VULVAR CANCER

被引:94
作者
THOMAS, GM
DEMBO, AJ
BRYSON, SCP
OSBORNE, R
DEPETRILLO, AD
机构
[1] TORONTO BAYVIEW REG CANC CTR,DIV GYNECOL ONCOL,TORONTO M4N 3M5,ONTARIO,CANADA
[2] UNIV TORONTO,DEPT RADIOL,TORONTO M5S 1A1,ONTARIO,CANADA
[3] UNIV TORONTO,DEPT OBSTET & GYNECOL,TORONTO M5S 1A1,ONTARIO,CANADA
关键词
D O I
10.1016/0090-8258(91)90223-R
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Vulvar carcinoma varies widely in its clinical presentations and prognosis. The reviewed literature outlines the achievements of conventional surgery, radiation, or chemoradiation therapy in its management. Currently therapeutic concepts are evolving. New treatment strategies replacing the uniform use of radical vulvectomy and bilateral groin dissection are proposed. These strategies are tailored to the clinical and pathological disease extent and location and integrate the possible therapeutic advantages of both surgery and chemoradiation. The testing and use of the proposed multimodality therapy protocols require the expertise of gynecologic, radiation, and medical oncologists. This approach should lead to improved anatomic and functional preservation in early disease and improved locoregional in advanced disease. © 1991.
引用
收藏
页码:9 / 21
页数:13
相关论文
共 42 条
[1]  
ACOSTA AA, 1978, AM J OBSTET GYNECOL, V132, P98
[2]   INVASIVE CANCER IN THE VULVAR REGION [J].
ANDREASSON, B ;
BOCK, JE ;
WEBERG, E .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1982, 61 (02) :113-119
[3]  
BACKSTROM A, 1972, ACTA OBSTET GYN SCAN, V51, P109
[4]  
BODE HG, 1950, STRAHLENTHERAPIE, V81, P251
[5]   COMBINED THERAPY AS AN ALTERNATIVE TO EXENTERATION FOR LOCALLY ADVANCED VULVO-VAGINAL CANCER .2. RESULTS, COMPLICATIONS, AND DOSIMETRIC AND SURGICAL CONSIDERATIONS [J].
BORONOW, RC ;
HICKMAN, BT ;
REAGAN, MT ;
SMITH, RA ;
STEADHAM, RE .
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 1987, 10 (02) :171-181
[6]   PROGNOSTIC FACTORS IN CARCINOMA OF THE VULVA [J].
BOYCE, J ;
FRUCHTER, RG ;
KASAMBILIDES, E ;
NICASTRI, AD ;
SEDLIS, A ;
REMY, JC .
GYNECOLOGIC ONCOLOGY, 1985, 20 (03) :364-377
[7]   INVASIVE SQUAMOUS-CELL CARCINOMA OF THE VULVA - DEFINING LOW AND HIGH-RISK GROUPS FOR RECURRENCE [J].
BRYSON, SCP ;
DEMBO, AJ ;
COLGAN, TJ ;
THOMAS, GM ;
DEBOER, G ;
LICKRISH, GM .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 1991, 1 (01) :25-31
[8]   RADICAL WIDE EXCISION AND SELECTIVE INGUINAL NODE DISSECTION FOR SQUAMOUS-CELL CARCINOMA OF THE VULVA [J].
BURKE, TW ;
STRINGER, CA ;
GERSHENSON, DM ;
EDWARDS, CL ;
MORRIS, M ;
WHARTON, JT .
GYNECOLOGIC ONCOLOGY, 1990, 38 (03) :328-332
[9]   PHARMACOLOGIC REQUIREMENTS FOR OBTAINING SENSITIZATION OF HUMAN-TUMOR CELLS-INVITRO TO COMBINED 5-FLUOROURACIL OR FTORAFUR AND X-RAYS [J].
BYFIELD, JE ;
CALABROJONES, P ;
KLISAK, I ;
KULHANIAN, F .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1982, 8 (11) :1923-1933
[10]  
CUMMINGS B, 1984, CANCER-AM CANCER SOC, V54, P2062, DOI 10.1002/1097-0142(19841115)54:10<2062::AID-CNCR2820541004>3.0.CO