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外阴上皮内癌的发生率不仅增加且有年轻化趋势。发病年龄的降低要求改革手术方式,这不仅是考虑治愈问题,而且还要考虑功能和外形的问题。本文报道1976年1月至1978年12月三年间收治的10例外阴原位癌累及肛管病人。作者回顾了1976年前十年的经历,未发现这种病例。复查以前全部病理标本以证实鳞状细胞原位癌的诊断。每个病人作了直肠镜检,并对病灶部位进行仔细核对。9例作了去皮式外阴切除术(Skinning Vulvectomy)和厚的皮瓣移植术。仅1例做局部切除术。
The incidence of vulvar intraepithelial neoplasia not only increased but also younger trend. The lower age of onset calls for reforming the surgical approach, which takes into account not only the cure but also the functional and cosmetic issues. This article reports from January 1976 to December 1978 three years admitted to 10 cases of vulva carcinoma in situ involving the anal canal patients. The authors reviewed the experiences of the first decade of 1976 and found no such cases. Review of all previous pathological specimens to confirm the diagnosis of squamous cell carcinoma in situ. Each patient underwent microscopic examination of the lesion and a careful check of the lesion site. Nine patients underwent skinning Vulvectomy and thick flap grafts. Only 1 case of local excision.