The best approach to the management of squamous cell carcinoma should be decided in the early stage. The authors obtained satisfactory results in their cases treated in the early stage by excision combined with -40°C cryotherapy. In the more advanced cases without lymph node involvement, exenteration followed by 50-66 gray radiation dosage is sufficient to prevent recurrence and eliminate microscopic lesions. In cases with lymph node involvement, the lymph nodes could be treated with operation and radiation. In these cases the use of cytostatic therapy should be reviewed.
- Early stage
- Lymph node involvement