Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature
Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of t...
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| Veröffentlicht in: | International journal of gynecological cancer 2001, Vol.11 (1), p.32-38 |
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| container_title | International journal of gynecological cancer |
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| creator | Sevin, B.-U. Abendstein, B. Oldenburg, W. A. O'Connor, M. Waldorf, J. Klingler, J. P. Knudsen, M. J. |
| description | Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of the femoral artery, blood supply to the leg was restored by an extra-anatomic axillopopliteal bypass. A myocutaneous flap from the contralateral rectus abdominis was used for primary wound closure. Limb salvage was achieved and the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed. |
| doi_str_mv | 10.1136/ijgc-00009577-200101000-00005 |
| format | Article |
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Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed.</description><identifier>ISSN: 1048-891X</identifier><identifier>EISSN: 1525-1438</identifier><identifier>DOI: 10.1136/ijgc-00009577-200101000-00005</identifier><identifier>PMID: 11285031</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged ; Axillopopliteal artery bypass ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - radiotherapy ; Carcinoma, Squamous Cell - surgery ; Case reports ; Female ; Femoral Artery - pathology ; Femoral Artery - surgery ; Genital cancers ; Groin - pathology ; Groin - surgery ; Groin recurrence ; Humans ; Leg ; Limb sparing surgery ; Myocutaneous flap ; Neoplasm Recurrence, Local ; Pelvis - pathology ; Pelvis - surgery ; Squamous cell carcinoma ; Squamous cell carcinoma of vulva ; Surgical Flaps ; Vulvar Neoplasms - pathology ; Vulvar Neoplasms - radiotherapy ; Vulvar Neoplasms - surgery</subject><ispartof>International journal of gynecological cancer, 2001, Vol.11 (1), p.32-38</ispartof><rights>2001 IGCS</rights><rights>2001 IGCS and ESGO.</rights><rights>2001 2001 IGCS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3091-998722efb3369c6cae0bbc5816aa13071d77761ccdb6fa7e7a677a5bb98361523</citedby><cites>FETCH-LOGICAL-b3091-998722efb3369c6cae0bbc5816aa13071d77761ccdb6fa7e7a677a5bb98361523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11285031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sevin, B.-U.</creatorcontrib><creatorcontrib>Abendstein, B.</creatorcontrib><creatorcontrib>Oldenburg, W. 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Limb salvage was achieved and the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed.</description><subject>Aged</subject><subject>Axillopopliteal artery bypass</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - radiotherapy</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Case reports</subject><subject>Female</subject><subject>Femoral Artery - pathology</subject><subject>Femoral Artery - surgery</subject><subject>Genital cancers</subject><subject>Groin - pathology</subject><subject>Groin - surgery</subject><subject>Groin recurrence</subject><subject>Humans</subject><subject>Leg</subject><subject>Limb sparing surgery</subject><subject>Myocutaneous flap</subject><subject>Neoplasm Recurrence, Local</subject><subject>Pelvis - pathology</subject><subject>Pelvis - surgery</subject><subject>Squamous cell carcinoma</subject><subject>Squamous cell carcinoma of vulva</subject><subject>Surgical Flaps</subject><subject>Vulvar Neoplasms - pathology</subject><subject>Vulvar Neoplasms - radiotherapy</subject><subject>Vulvar Neoplasms - surgery</subject><issn>1048-891X</issn><issn>1525-1438</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqVUU2LFDEQDaK46-pfkIDorTUfm6QjeFgWXYUBLwoehJCkq8cM3Z2x0j2y_970zqjgSZNDiserepX3CHnO2UvOpX6VdtvYsHqsMqYRjPF6GbuD1D1yzpVQDb-U7f1as8u2aS3_ckYelbJbmwSzD8kZ56JVTPJz8nWTxkDL3mOatrQsuAW8pX1GeliGg0e6xZwmihAXRJgivKZXNPoCFdpnnKmfuloeEvyguafzN6BDmgH9vCA8Jg96PxR4cnovyOd3bz9dv282H28-XF9tmiCZ5Y21rREC-iCltlFHDyyEqFquveeSGd4ZYzSPsQu69waM18Z4FYJtpa7_lRfkxXHuHvP3BcrsxlQiDIOfIC_FGcOEMEJV4rO_iLu84FR3c0IpYaziWlfWmyMrYi4FoXd7TKPHW8eZW0NwawjuVwjudwh30Kry9KSyhBG6P90n1yvh5kiAakq1Dl2JaTW3S9Xo2XU5_bNUe5wUxt1_bvkTZZOpdA</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Sevin, B.-U.</creator><creator>Abendstein, B.</creator><creator>Oldenburg, W. 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A.</au><au>O'Connor, M.</au><au>Waldorf, J.</au><au>Klingler, J. P.</au><au>Knudsen, M. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature</atitle><jtitle>International journal of gynecological cancer</jtitle><addtitle>Int J Gynecol Cancer</addtitle><date>2001</date><risdate>2001</risdate><volume>11</volume><issue>1</issue><spage>32</spage><epage>38</epage><pages>32-38</pages><issn>1048-891X</issn><eissn>1525-1438</eissn><abstract>Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of the femoral artery, blood supply to the leg was restored by an extra-anatomic axillopopliteal bypass. 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| ispartof | International journal of gynecological cancer, 2001, Vol.11 (1), p.32-38 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Axillopopliteal artery bypass Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - radiotherapy Carcinoma, Squamous Cell - surgery Case reports Female Femoral Artery - pathology Femoral Artery - surgery Genital cancers Groin - pathology Groin - surgery Groin recurrence Humans Leg Limb sparing surgery Myocutaneous flap Neoplasm Recurrence, Local Pelvis - pathology Pelvis - surgery Squamous cell carcinoma Squamous cell carcinoma of vulva Surgical Flaps Vulvar Neoplasms - pathology Vulvar Neoplasms - radiotherapy Vulvar Neoplasms - surgery |
| title | Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature |
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