Vulvar carcinoma and its recurrences – principles of surgical treatment

Česká verze

Authors: L. Viktora ; Luboš Minář ; Michal Felsinger ; Vít Weinberger
Authors place of work: Onkogynekologické centrum, Gynekologicko-porodnická klinika LF MU a FN Brno
Published in the journal: Ceska Gynekol 2022; 87(6): 401-407
Category: Přehledový článek s kazuistikou
doi: https://doi.org/10.48095/cccg2022401

Summary

Objective: A comprehensive overview of the surgical treatment of vulvar cancer, including recurrent forms. Methodology: A review work providing a basic overview of the pathogenesis, diagnosis and surgical treatment of vulvar cancer with a focus on the possibilities of treatment of its recurrences. It includes an illustrative case report presenting a patient with invasive squamous cell carcinoma of the vulva with iterative local recurrences and subsequent development of tumor triplicity and distant metastatic involvement. Conclusion: Surgical treatment remains the main modality of vulvar cancer therapy, even in the case of locally advanced or recurrent findings. In these cases, multidisciplinary cooperation of operational fields is necessary. The discipline of treated patients with participation in regular dispensary care plays an important role in the early detection of recurrences. (Chemo) radiotherapy remains a possible alternative to the surgical solution; in clinical practice, radiotherapy has an irreplaceable place in adjuvant therapy. Regional and distant recurrences are characterized by a poor prognosis.

Keywords:

surgery – Chemoradiotherapy – local recurrence – vulvar cancer – groin (inguinal) recurrence – distant recurrence

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