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Conservative surgical treatment for early-stage vulvar malignant melanoma
Kaei Nasu1, Yoshitaka Kai, Masaki Ohishi
1Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, Yufu-shi, Oita, 879-5593, Japan. nasu@med.oita-u.ac.jp
Purpose:
To investigate the efficacy of wide local excision as a surgical treatment for early-stage vulvar melanomas.
Methods:
Wide local excision with or without lymph node dissection was performed in three patients with stage I vulvar melanoma (American Joint Committee on Cancer classification, 1992).
Results:
All three patients were successfully treated by wide local excision. There was no evidence of recurrence at long-term follow-up in any of the patients.
Conclusions:
Wide local excision with adequate tumor-free margins should be considered the treatment of choice for early-stage vulvar melanomas.
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