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[Vulvar cancer. The therapeutic aspects]
N Angelescu1, D Cristian, S Voiculescu
1Clinica Chirurgicală Colţea, Bucureşti.
Chirurgia (Bucharest, Romania : 1990)
|March 1, 1996
Summary
Vulvar carcinoma, though rare, requires complex treatment. Surgical intervention like vulvectomy with lymphadenectomy, combined with radiotherapy and chemotherapy, improves survival rates for this gynecologic cancer.
Area of Science:
- Gynecologic Oncology
- Surgical Oncology
- Radiation Oncology
Context:
- Vulvar carcinoma presents unique challenges due to multicentricity and lymph node involvement.
- This study analyzes treatment outcomes for 13 vulvar carcinoma patients over a decade.
Purpose:
- To evaluate the efficacy of surgical and adjuvant treatments for vulvar carcinoma.
- To assess survival rates and complications associated with various therapeutic approaches.
Summary:
- 13 patients with stages II-IVb vulvar carcinoma underwent surgery (vulvectomy, lymphadenectomy) and adjuvant therapy (radiotherapy, chemotherapy).
- Preoperative radiotherapy was administered to 9 patients; 3 had a history of other cancers.
- Histopathology revealed predominantly spinocellular carcinoma. Postoperative mortality was zero.
Impact:
- Complex treatment regimens, including vulvectomy with inguinal lymphadenectomy and adjuvant therapies, are justified by survival rates.
- Postoperative radiotherapy and chemotherapy appear to enhance patient survival in vulvar carcinoma cases.