Research Article
Volume 9 Issue 6 - 2020
Vulvar Cancer. Surgery Results in 151 Patients
Alfonso Torres Lobatón1*, Azcary Vázquez Tinajero2, Elisa Paola Jiménez Arroyo2, Rosalva Barra Martínez3, Juan Carlos Oliva Posada4, Fred Morgan Ortíz5 and Carla América Suárez Juárez6
1Surgical Oncologist, Technical Consultant, Main Surgeon, Database and Manuscript Development, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico
2Gynecologic Oncologist, Database Development, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico
3Surgical Oncologist, Collaborating Surgeon, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico
4Surgical Oncologist, Collaborating Surgeon, Head of the Gynecological Tumors Service, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico
5Gynecologist, Master of Science, Research Center in Health Sciences, Autonomous University of Sinaloa, Mexico
6Gynecologic Oncologist, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico
*Corresponding Author: Alfonso Torres Lobatón, Surgical Oncologist, Technical Consultant, Main Surgeon, Database and Manuscript Development, Oncology Service, México General Hospital “Dr. Eduardo Liceaga”, Mexico City, Mexico.
Received:April 16, 2020; Published: May 29, 2020




Abstract

Objective: The present study is a review of our experience of the surgical options for vulvar cancer using The International Federation of Gynecology and Obstetrics (FIGO) classification.

Materials and Methods: The records of 151 patients treated with surgery for vulvar cancer with or without adjuvance in a lapse of 34 years, were retrospective reviewed in the Department of Gynecology Oncology at the General Hospital of Mexico. Data were analyzed using the Program Epi Info version 7.2.

Results: Patients were divided into groups, those with pre-invasion or minimal invasion disease were resolved with local excision or simple vulvectomy n = 24 (15.8%). Patients with invasive cancer were treated with conservative surgery with or without unilateral lymph node dissection n = 16 (14.5%); radical vulvectomy with inguino femoral lymphadenectomy n = 94 (62.2%) (47 block surgeries and 47 with separate incision); ultra-radical surgery n = 11 (7.2%) (6 abdomino-perineal resections and 5 pelvic exenterations).

127 Patients had follow - up and 62 of them had a disease-free survival rate of 30 months (48.8%). The overall survival in pre-invasion or minimal invasion disease were 91.3% (21/23), in Stage IB-II 75.5% (37/49), in Stage III 31.7% (13/41) (p = 0.00007) and in Stage IVA 21.4% (3/14).

Conclusion: Although a more individualized and less radical treatment is suggested, in this series only 14.5% of patients, could be resolved with conservative surgery. In addition, the lymph node status was the most important prognostic factor for survival.

Keywords: Vulvar Cancer; Surgery

References

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Citation: Alfonso Torres Lobatón., et al. “Vulvar Cancer. Surgery Results in 151 Patients”. EC Gynaecology 9.6 (2020): 52-64.

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