Carcinoma of the vulva: analysis of treatment failures.

Abstract:

:Continuous follow-up of 224 patients treated for primary invasive squamous cell carcinoma of the vulva in a 20-year period (1955 to 1975) at the Mayo Clinic resulted in the detection of recurrent (or persistent) neoplasia in 59 (26%). Rates of treatment failure increased with advancing stage of disease-from 14% for Stage I to 71% for Stage IV. The rate of local vulvar recurrence was 18%, which was about three times greater than the recurrence rates for the groin, pelvis, and distant sites. However, the 1- and 5-year survival rates of 73% and 50%, respectively, after vulvar recurrence were in sharp contrast to the corresponding rates of 34% and 10% for regional or distant recurrence. When 35 patients with central vulvar extension of disease were evaluated, groups at excessive risk for treatment failure (lesions 4 cm or larger inguinal node involvement, or both) were identified and modifications in conventional therapy applicable to these groups were considered.

journal_name

Am J Obstet Gynecol

authors

Podratz KC,Symmonds RE,Taylor WF

doi

10.1016/0002-9378(82)90823-7

subject

Has Abstract

pub_date

1982-06-01 00:00:00

pages

340-51

issue

3

eissn

0002-9378

issn

1097-6868

pii

0002-9378(82)90823-7

journal_volume

143

pub_type

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