外阴汗腺癌七例临床分析

目的：总结外阴汗腺癌的临床特点及治疗方法。方法：对７例外阴汗腺癌病例进行回顾性分析。结果：外阴汗腺癌的发病年龄为４０～５８岁。７例患者的治疗为局部扩大切除或根治性外阴广泛切除，２例辅以术后放疗。７例中５例存活５年以上，其中１例曾在首次治疗后第７年、１１年２次复发并于第１７年死于肿瘤。２例存活＜５年，１例在术后２年半死于脑出血，１例因脊椎广泛转移在术后１年零９个月死亡。结论：外阴汗腺癌的预后较好，局部扩大切除或根治性外阴切除，是首选治疗方法。

Sweat Gland Carcinoma of the Vulva: report of 7 Cases

Objectives: To report the clinical and pathologic features and to evaluate the treatment results of 7 cases of sweat gland carcinoma of the vulva. Methods: The clinical records of the 7 cases of sweat gland carcinoma of the vulva, admitted to our hospital for treatment between December, 1974 and December, 1994, were reviewed, The data including clinical and pathologic features, treatments and posttreatment follow ups. Five of the 7 cases were referred from other hospitals, 4 followed by local rescetion and 1 with recurrence 7 years after surgery. Results: 5/7 of the cases were alive for more than 5 years. One of the 5 cases recurred twice at 7 and 11 years after the initial treatment and each time remedied by radiotherapy, but eventualy died of tumor with pulmonary metastasis at the 17th year. Two died within 5 years after treatment: one from cerebral hemorrhage and the other from extensive cancer metastasis 1 year and 9 months after surgery. Conclusions: The prognosis of sweat gland carcinoma of the vulva is fairly good. Wide local resection of the vulva or radical vulvectomy is the treatment of choice.