外阴Bowen's病8例分析

Bowen's Disease of the Vulva: Report of 8 Cases

  • 摘要: 目的:总结外阴Bowen's病的临床病理特点、治疗方法和预后。方法:回顾性分析我院1993年2月至2000年1月收治的8例外阴Bowen's病的临床资料。结果:8例外阴Bowen's病患者的发病年龄为23~57岁,平均年龄38岁,均有不同程度的外阴搔痒及局部斑片状突起。8例中4例行局部肿瘤切除,另4例采用单纯外阴切除术。随诊18个月~8年,其中1例在初次手术后6个月复发,占12.5%,再行单纯外阴切除术,至今已5年无复发。其余7例无复发迹象。结论:外阴Bowen's病是一种特殊类型的外阴皮肤上皮内鳞状上皮癌,局部肿瘤切除或单纯外阴切除可取得良好预后,复发后重复手术仍可得到治愈。

     

    Abstract: Objective : The purpose of this study was to report the clinical and pathologic features and to evaluate the treatment results of 8 cases of Bowen's disease of the vulva. Methods : The clinical record of the 8 cases of Bowen's disease of the vulva, admitted to our hospital for treatment between January, 1993 and January, 2000, were reviewed. The data includ-ing clinical and pathologic features, treatments and posttreatment follow-ups. All of the 8 cases were given surgery with simple vulvectomy or local resection of vulva. Results : The average age of patients was 38 years(23-57 years). 4/8 patients was treated by local excision. The others was underwent a simple vulvectomy. One of the 8 cases recurred at the 6 months after the initial lo-cal resection and received the second surgery with simple vulvectomy. There was no evidence of recurrence. The others had lived without recurrent for 18 months to 8 years after initial treatment. Conclusions : The prognosis of Bowen's disease of the vulva is fairly good. Local resection of the vulva or simple vulvectomy is the treatment of choice.

     

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