Bartosz Urbański
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引用次数: 0

摘要

外阴癌无疑是一个严重的社会问题。它越来越多地影响年轻女性,并与致癌型HPV感染的传播有关。建议外阴癌的治疗应由妇科肿瘤学家、放射治疗肿瘤学家、病理学家、放射学家和心理学家组成的跨学科团队进行。目前,现代的治疗策略是基于挽救程序。病情非常严重的病人通常只能通过手术治疗。辅助放疗保留用于边缘闭合或阳性或转移性腹股沟淋巴结的病例,以确保充分的局部控制和更长的总生存期。局部晚期外阴癌的治疗更为复杂,具有相当大的挑战性。它需要综合治疗:手术、放疗和放化疗。电离辐射治疗作为手术病例的一种治疗方法,在手术前或手术后不能手术病例的根治性治疗中起着重要作用。在治疗结束时,进行适当的高质量康复,并经常进行咨询,以和谐地回到积极的生活中是极其重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radioterapia w leczeniu raka sromu

Cancer of the vulva is undoubtedly a serious social problem. It, more and more often, affects young women and is associated with the spread of infection with cancer-causing HPV types. It is recommended that treatment of vulvar cancer dealt with an interdisciplinary team consisting of a gynecologist oncologist, radiotherapist oncologist, pathologist, radiologist, and psychologist. The current, modern treatment strategy is based on saving procedures. Patients with very advanced disease are often treated only by surgery. Adjuvant radiotherapy is reserved for cases with close or positive margins or with metastatic inguinal lymph nodes to ensure adequate local control and longer overall survival.

Treatment of locally advanced vulvar cancer is more complex and represents a considerable challenge. It needs a combination treatment: surgery, radiotherapy and chemoradiation. Treatment through ionizing radiation plays an important role in the radical treatment of inoperable cases either before or after surgery as a treatment for cases of operations.

At the end of the treatment it is extremely important to have proper quality rehabilitation, and often counseling to harmoniously return to active life.

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