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Surgical treatment of locally advanced vulvar cancer

https://doi.org/10.18027/2224-5057-2020-10-3-20-25

Abstract

The article discusses the choice of different surgical procedures in patients with locally advanced vulvar cancer, depending on the volume of resected tissues and the possibility of reconstructive plastic surgery. The advantages and disadvantages of various plastic reconstructive techniques are provided. The issue of wound closing after the vulvectomy and the plastic techniques has always been controversial and led to the sophistication of the reconstructive component, as well as to the limitations or refusal of this surgical procedure use.

About the Authors

A.  A. Mukhin
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Arsentiy A. Mukhin, Oncologist, Department of Gynaecological Oncology 

Chelyabinsk



A.  V. Vazhenin
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine; South Ural State Medical University
Russian Federation

Andrey V. Vazhenin, MD, PhD, DSc, Prof., Honoured Doctor of the Russian Federation, Academician of the Russian Academy of Sciences, Head, Department of Oncology, Radiation Diagnostics, and Radiation Therapy, South Ural State Medical University of the Ministry of Health of the Russian Federation, Physician-in-Chief, Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine

Chelyabinsk



V.  V. Saevets
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine; South Ural State Medical University
Russian Federation

Valeriya V. Saevets, MD, PhD, Head of the Department of Gynaecological Oncology

Chelyabinsk



A.  V. Taratonov
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Aleksey V. Taratonov, Oncologist, Department of Gynaecological Oncology 

Chelyabinsk



References

1. Бохман Я. В., 1989; Таджибаева Ю. Т., 1990; Жаров A. B., 1995; Кузнецов В. В., Мехтиев В. Н., Коржевская Е. В. и соавт. 2000; Хасанов A. A., 2000).

2. Hallak S, Ladi L, Sorbe B. Prophylactic inguinal-femoral irradiation as an alternative to primary lymphadenectomy in treatment of vulvar carcinoma. Int J Oncol 2007; 31:1077–1085.

3. Petereit DG, Mehta MP, Buchler DA, Kinsella TJ. Inguinofemoral radiation of N0, N1 vulvar cancer may be equivalent to lymphadenectomy if proper radiation techni-que is used. Int J Radiat Oncol Biol Phys 1993; 27: 963–967.

4. Greer BE, Koh WJ. New NCCN Guidelines for Vulvar Cancer. J Natl Compr Canc Netw 2016; 14:656–658.


Review

For citations:


Mukhin A.A., Vazhenin A.V., Saevets V. ., Taratonov A.V. Surgical treatment of locally advanced vulvar cancer. Malignant tumours. 2020;10(3):20-25. (In Russ.) https://doi.org/10.18027/2224-5057-2020-10-3-20-25

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ISSN 2224-5057 (Print)
ISSN 2587-6813 (Online)