[The electroresection as therapy of the vulva carcinoma. Method and results (author's transl)]

At the Ist Gynecologic University-Clinic of Vienna 292 patients with vulvar carcinoma were admitted and treated in the years 1952--1970. The therapy was an electroresection and -coagulation of the primary tumor, followed, if necessary, by a surgical dissection of the inguinal groin. An electrocoagulation is indicated for the more extended cases, too--a local healing in 97% of the cases is obtained in this way. The inguinal dissection was progressively replaced by telecobalt-irradiation (6000 rd). Of the 292 cases 139 of 47.6% presented palpable nodes and only 56 patients were operated. 79.3% were aged between 61 and 90 years. Of the 292 cases 167 or 57.4% were cured for five years or more. The primary mortality was 1% (three cases). 40 patients (13.3%) died of intercurrent diseases.