The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer

To analyze the prevalence of inguinofemoral lymph nodes metastases in clinical Stages IB-II vulva cancer. Twenty-two patients with FIGO Stages IB-II FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted i...

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Veröffentlicht in:	European journal of gynaecological oncology 2016, Vol.37 (1), p.86-88
Hauptverfasser:	Căpîlna, M E, Szabo, B, Nicolau, C R, Daniilidis, A, Neagoe, R M, Moldovan, B
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Female Groin - pathology Humans Lymph Node Excision Lymphatic Metastasis Middle Aged Neoplasm Staging Vulvar Neoplasms - pathology Vulvar Neoplasms - surgery
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creator	Căpîlna, M E Szabo, B Nicolau, C R Daniilidis, A Neagoe, R M Moldovan, B
description	To analyze the prevalence of inguinofemoral lymph nodes metastases in clinical Stages IB-II vulva cancer. Twenty-two patients with FIGO Stages IB-II FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted in radical vulvectomy plus inguinofemoral lym- phadenectomy. The final pathological result was squamous carcinoma in 20 patients, vulva melanoma in one, and carcinosar- coma in one. The prevalence of positive lymph nodes was 45.4%. The median number of harvested lymph nodes was 14.0 per groin (between four and 27). Twelve patients (54.5%) developed some wound complications, but all were resolved. At the present time, 20 patients are alive, but the follow-up period is short for many of them; two patients died of disease. The prevalence of groin metastases in Stages IB-II vulvar cancer is high. A thorough inguino-femoral dissection seems necessary, despite the high incidence of wound complications.
doi_str_mv	10.12892/ejgo2783.2016
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Twenty-two patients with FIGO Stages IB-II FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted in radical vulvectomy plus inguinofemoral lym- phadenectomy. The final pathological result was squamous carcinoma in 20 patients, vulva melanoma in one, and carcinosar- coma in one. The prevalence of positive lymph nodes was 45.4%. The median number of harvested lymph nodes was 14.0 per groin (between four and 27). Twelve patients (54.5%) developed some wound complications, but all were resolved. At the present time, 20 patients are alive, but the follow-up period is short for many of them; two patients died of disease. The prevalence of groin metastases in Stages IB-II vulvar cancer is high. 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Twenty-two patients with FIGO Stages IB-II FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted in radical vulvectomy plus inguinofemoral lym- phadenectomy. The final pathological result was squamous carcinoma in 20 patients, vulva melanoma in one, and carcinosar- coma in one. The prevalence of positive lymph nodes was 45.4%. The median number of harvested lymph nodes was 14.0 per groin (between four and 27). Twelve patients (54.5%) developed some wound complications, but all were resolved. At the present time, 20 patients are alive, but the follow-up period is short for many of them; two patients died of disease. The prevalence of groin metastases in Stages IB-II vulvar cancer is high. 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subjects	Adult Aged Female Groin - pathology Humans Lymph Node Excision Lymphatic Metastasis Middle Aged Neoplasm Staging Vulvar Neoplasms - pathology Vulvar Neoplasms - surgery
title	The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer
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