Treatment of early-stage vulvar cancer was mainly surgical, including vulvectomy
or radical local excision of the vulvar tumour and inguinofemoral lymphadenectomy.
A radical vulvectomy
with bilateral inguinofemoral lymph node dissection was performed later.
Corney, Crowther and Everett (1993) indicated that sexual dysfunctions are common among women who have had a radical hysterectomy and vulvectomy
operation, and this situation continues to be a chronic problem.
Unilateral carcinomas of the vulva can be treated with limited radical vulvectomy
and ipsilateral inguinal femoral node dissection.
8 cm Chemoradiation, Deceased carboplatin/Taxol/ Avastin, (b) debulking with HIPEC 8 Vagina, 2-mm depth RA-TLH NED invasion 9 Lungs, 5 cm Cisplatin/Taxol Deceased 10 Vagina; size not Vaginectomy, Deceased measurable vulvectomy
, RT 11 Vagina, pelvic Cisplatin/Taxol Deceased sidewall;2 cm 12 Vagina, 1 cm TPE NED Abbreviations: ASC-H, atypical squamous cells, cannot rule out high-grade squamous intraepithelial lesion; ASCUS, atypical cells of undetermined significance; AWD, alive without disease; HIPEC, hyperthermic intraperitoneal chemotherapy; HPV, human papilloma virus;NED, no evidence of disease;RA-TLH, robotic-assisted total laparoscopic hysterectomy;RT, radiation therapy;SCC, squamous cell carcinoma;TPE, total pelvic exenteration.
With any treatment, however, patients and physicians should be aware of the risk of recurrence; for vulvectomy
, partial vulvectomy
, local excision, and laser ablation, recurrences were seen at rates of 19%, 18%, 22%, and 23%, respectively, in a review of 3,322 patients.
Bilateral superficial and deep inguinal lymph node resection (Figure 3) was performed, followed by radical vulvectomy
with en-bloc excision of the anterior third of the vagina and distal urethra (Figure 4).
5,9,10) The recommended surgical treatment is a simple or radical vulvectomy
with or without lymph node dissection.
I was three stages away from the getting a full vulvectomy
when they removed the cancer and the area needs to be packed and unpacked daily, leaving an open wound.
This changed on the day I saw the before and after photographs of a woman who had undergone a cancer-related radical vulvectomy
3) found melanosis of the vagina three years after a radical vulvectomy
because of a malignant melanoma of the vulva.
Past medical history included vulvectomy
for vulvar carcinoma, non-Hodgkin's lymphoma in remission after cyclophosphamide, and a 40 pack per year history of tobacco use.