Individualized treatment of stage I carcinoma of the vulva.

Abstract:

:A series of 117 patients with stage I squamous cell carcinoma of the vulva was followed for 3 to 21 years. Twenty recurrences (17.1%) were found, 12 in the vulva or vagina, 7 in the groin, and 1 in a patient who developed distant metastases. Invasion of tumor cells in lymph or blood vessels was found in operative specimens from 19 patients (16.2%), 8 of whom (42.1%) developed local recurrences of metastases. Of 76 patients who underwent lymphadenectomy, 7 had ipsilateral and 1 had bilateral metastases to the inguinal lymph nodes. Five-year crude survival rate for the whole series was 79%, but only 52% for the group of patients with vessel invasion. Treatment should in most cases be hemivulvectomy with ipsilateral inguinal lymphadenectomy.

journal_name

Obstet Gynecol

authors

Iversen T,Abeler V,Aalders J

subject

Has Abstract

pub_date

1981-01-01 00:00:00

pages

85-9

issue

1

eissn

0029-7844

issn

1873-233X

journal_volume

57

pub_type

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