国际妇产科学杂志 ›› 2016, Vol. 43 ›› Issue (1): 80-83.

• 综述 • 上一篇    下一篇

外阴癌放射治疗及进展

黄枝炯,高琨   

  1. 530021 南宁,广西医科大学附属肿瘤医院妇瘤科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-02-15 发布日期:2016-02-15

The Radiotherapy and Progress for Vulvar Cancer

HUANG Zhi-jiong,GAO Kun   

  1. Department of Gynecologic Oncology,Affiliated Tumor Hospital of Guangxi Medical University,Nanning 530021,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-02-15 Online:2016-02-15

摘要: 外阴癌治疗困难,根治性手术致残率高,术后患者生存质量差。放疗在外阴癌的个体化和综合性治疗中起着越来越重要的作用。对无法一期手术的晚期患者,术前放疗有望使其获得非脏器切除的根治术。术后放疗主要针对存在复发高危因素患者,以减少术后复发风险。根治性放疗可以使患者避免手术治疗的严重并发症,保证治疗后的生存质量,但远期疗效仍有待深入研究。调强适形放疗(IMRT)结合同步化疗作为一种新的放疗方式,有望使外阴癌患者获得良好的疗效及生存质量。

关键词: 外阴肿瘤, 放射疗法, 抗肿瘤联合化疗方案, 调强适形放疗

Abstract: The treatment of vulvar cancer is difficult. The radical surgery is a therapy that would result in a high disability and a poor quality of life for patients who have undergone this mutilated treatment. Radiotherapy plays an increasingly important role in the individualized and comprehensive treatment of vulvar cancer. Preoperative radiotherapy is expected to get a radical surgery without viscera resection for the advanced patients who can not be operated at first. Postoperative radiotherapy is mainly aimed to reduce the risk of recurrence after surgery for the patients who have high risk factors of recurrence. Radical radiotherapy can make the patient avoid the severe complications of surgery and ensure the quality of life after treatment. However , the long-term effect remains to be further research. As a new approach of radiotherapy, the intensity modulated radiation therapy (IMRT) combines with concurrent chemoradiation may be expected to make an effective treatment and a high quality of life for vulvar cancer.

Key words: Vulvar neoplasms, Radiotherapy, Antineoplastic combined chemotherapy protocols, Intensity modulated radiation therapy