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Radical vulvectomy combined with elective node irradiation for T x N 0 squamous carcinoma of the vulva
Author(s) -
Daly James W.,
Million Rodney R.
Publication year - 1974
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197407)34:1<161::aid-cncr2820340124>3.0.co;2-0
Subject(s) - medicine , radical vulvectomy , vulva , surgery , vulvectomy , radiation therapy , node (physics) , carcinoma , vulvar cancer , structural engineering , engineering
Abstract The conventional treatment for squamous carcinoma of the vulva with negative nodes (N 0 ) is radical vulvectomy and bilateral node dissections. Approximately 20–30% of N 0 patients will have involved nodes in the surgical specimen. The morbidity/mortality added by the node dissections may be considerable, especially for the two of three patients who are not aided by the procedure. Radical vulvectomy followed by elective node irradiation of 4500 R in 5 weeks has been used in six patients. The treatment combination is well tolerated with no node failures, no radiation complications, no delay in healing of the surgical site, and an average hospitalization of 13 days.