[Individualized surgical therapy of vulvar carcinoma]

In the years 1959 to 1990 111 patients with carcinoma of the vulva had been treated not by radical vulvectomy but by an individualized operation with restricted radicality depending from general condition and extension of the tumor. This local radical wide excision with margins of 3 cm of normal tissue had been completed only in 20 cases by inguino-femoral lymphonodectomy, 5-year survival rate over all is 51 per cent, in cases of T1 70 per cent. It could be demonstrated that local tumour control is possible with preservation of quality of life. Conclusion of this retrospective study is that resignation of lymphonodectomy should no more done nowadays. Replacement by radiation has no benefit.