Bartholin Gland Carcinoma
| Autor: | Nour Sneige, David M. Gershenson, Virgie McGuffee, Fadi W. Abdul-Karim, Larry J. Copeland, Rutledge Fn |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
medicine.medical_specialty Adenocarcinoma Vulva Diagnosis Differential Bartholin's gland Humans Medicine Bartholin's Glands Neoplasm Metastasis Stage (cooking) Survival rate Aged Bartholin Gland Gynecology Carcinoma Transitional Cell Vulvar Neoplasms business.industry Obstetrics and Gynecology Middle Aged Carcinoma Adenoid Cystic Combined Modality Therapy Bartholin gland carcinoma medicine.anatomical_structure Lymphatic Metastasis Carcinoma Squamous Cell Female Neoplasm Recurrence Local business |
| Zdroj: | Obstetrics & Gynecology. 67:794-801 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/00006250-198606000-00009 |
| Popis: | Bartholin gland tumors are rare and management recommendations have been based on limited information. This report summarizes a 30-year clinical experience involving Bartholin gland carcinoma in 36 patients whose five-year survival rate was 84%. FIGO stages of the 36 tumors were stage I, nine; stage II, 15; stage III, ten; and stage IV, two. Cell types were: squamous, 27 (three nonkeratinizing with areas of a transitional component); adenomatous, six; adenoid cystic, two; and adenosquamous, one. Fourteen of 30 (47%) patients with lymph node dissections had nodal metastases and 11 remain disease-free. Disease recurred in nine patients (six local, two distant, one local and distant) and four were treated successfully. One of 14 (7%) patients receiving radiation and six of 22 (27%) patients not receiving radiation developed local recurrences. Wide excision (often necessitating a radical hemivulvectomy), ipsilateral inguinal lymphadenectomy, and adjunctive irradiation to the vulva and regional lymph nodes produced excellent results. |
| Databáze: | OpenAIRE |
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