An 125 Patientinnen mit Vulvakarzinom werden die korrigierten 5-Jahres-Überlebensraten überprüft. Es wird versucht, zur Frage der organerhaltenden Therapie im Stadium I Stellung zu nehmen. Ausserdem wird die Frage nach der Bedeutung der Strahlentherapie bei der Behandlung des Vulvakarzinoms gestellt. Wir kommen zum Ergebnis, dass bei Beachtung einer defínierten lokalen Radikalität im Stadium I partiell organerhaltend operiert werden kann. Bei positivem inguinalem Lymphknotenbefall und/oder bei ausgedehnten Primärtumoren sind die besten Behandlungserfolge mit einer Kombination von radikaler Chirurgie und lokoregionärer Strahlentherapie zu erzielen. Mit kurativer Absicht konnte die alleinige Strahlentherapie nur im Frühstadium der Krankheit eingesetzt werden.

Keywords:
Organ-preserving therapy, Radiation treatment, Vulval carcinoma, prognostic factors
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© 1993 S. Karger AG, Basel
1993
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