Vascular segmental exclusion for recurrent vulvar squamous cell carcinoma invading the femoral vessels

A 55-year-old woman presented with a recurrent left inguinal necrotic mass caused by locally invasive vulvar carcinoma. Computed tomography of the abdomen pelvis showed compression of the femoral vein and superficial femoral artery. The patient underwent a left axillary to popliteal artery bypass with left superficial femoral artery embolization in preparation for possible wide resection. Subsequent resection was aborted because of extensive local invasion and rapid spread. Three-month follow-up revealed a patent graft. The patient died after 4 months from progression of oncologic disease and an unresectable tumor in the groin that eroded through the blood vessels without bleeding or lower limb ischemia.