Hip disarticulation for recurrent vulvar cancer in the groin

Powell, John L.; Donovan, Julia T.; Reed, William P.

doi:10.1016/0090-8258(92)90085-w

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…incisa (T. incisa hereafter) is an endemic erect perennial herb with a thick tuberous taproot (Watson 2000). It occurs in dry eucalypt woodland or scrub, sclerophyll forest and cleared areas along the coastal regions of New South Wales and Queensland (Powell 1992;Benson and McDougall 1993). It grows on sandy infertile soils and rock crevices, to a height of about 80 cm (Benson and McDougall 1993).…”

Section: Study Speciesmentioning

confidence: 99%

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Reproductive ecology of the Australian herb Trachymene incisa subsp.incisa (Apiaceae)

Davila¹,

Wardle²

2002

Aust. J. Bot.

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Abstract. Within the Apiaceae, subtle variation in reproductive characters such as dichogamy, pollinator specificity and umbel density may cause cryptic specialisation and be responsible for the diversity of life histories and gender expression in the family. To address the paucity of information for Australian species we investigated the reproductive ecology of the native perennial herb, Trachymene incisa Rudge subsp. incisa. T. incisa exhibits protandry within flowers and umbels; however, an overlap of 3 days in male and female phases among umbels of consecutive orders permits geitonogamous pollination. There are 72 ± 2.0 (n = 74) white flowers per umbel and nectar is presented during the male and female phases. Apis mellifera appears to be the main diurnal pollinator. The pollen:ovule ratio is 1902:1, indicating that T. incisa is a facultatively xenogamous species. The long phase of pollen presentation and the low natural seed set of about 45% implies that many flowers are functioning as pollen donors only. Controlled pollination experiments showed that self-pollen led to lower seed set than cross, open and supplemental applications. Early and late-produced cohorts differed in days to emergence but not in seed mass or final percentage emergence.

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Section: Study Speciesmentioning

confidence: 99%

“…Australia has 42 genera from the Apiaceae found in all states (Powell 1992). The only review of the reproductive strategies of Australian Apiaceae addressed 70 taxa from Western Australia (Keighery 1982).…”

Section: Introductionmentioning

confidence: 99%

Reproductive ecology of the Australian herb Trachymene incisa subsp.incisa (Apiaceae)

Davila¹,

Wardle²

2002

Aust. J. Bot.

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“…The usual treatment is chemoradiotherapy, however surgery in the form of radical resection with vascular grafting and plastic reconstruction or hip disarticulation has been described. 4,5 Femoral artery rupture is a rare complication and is usually the result of tumour invasion, radiotherapy and tissue necrosis. Rupture of the femoral artery results in exsanguinating haemorrhage and is usually a terminal event.…”

Section: Discussionmentioning

confidence: 99%

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

2010

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We report on the case of a 50-year-old woman with exsanguinating haemorrhage from the common femoral artery as a complication of recurrent vulvar cancer in the groin which was managed successfully with combined open surgical and endovascular intervention. She survived another three months and died from progressive disease without further episodes of bleeding. This complication is rare, presents dramatically, and is usually a terminal event. For those cases where intervention is considered appropriate, the option of combined open surgical and endovascular repair should be kept in mind.

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Major extremity amputation for nodal metastasis from squamous cell carcinoma

Johnston

Namm

Reeves

2005

Journal of Surgical Oncology

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The regional lymph node basin is usually the first site of spread in cutaneous squamous cell carcinoma (SCC). Regional metastases are usually treated with comprehensive nodal dissection, sometimes followed by radiation and/or chemotherapy. Occasionally, when disease recurs after these conventional therapies, major extremity amputation may be the only way to render patients free of disease. We present three cases for which major extremity amputation was necessary. One patient underwent forequarter amputation for nodal metastasis, which had invaded the brachial plexus. Another patient underwent hip disarticulation for femoral bony invasion from inguinal nodal metastasis. The third patient underwent a hemipelvectomy for nodal metastasis, which had eroded the femoral artery and pelvic bone. These cases show that major extremity amputation can be both palliative and curative in patients with SCC.

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Hip disarticulation for recurrent vulvar cancer in the groin

Cited by 4 publications

References 13 publications

Reproductive ecology of the Australian herb Trachymene incisa subsp.incisa (Apiaceae)

Reproductive ecology of the Australian herb Trachymene incisa subsp.incisa (Apiaceae)

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

Major extremity amputation for nodal metastasis from squamous cell carcinoma

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