Invasive Cancer of the Vulva

Stehman, Frederick B.

doi:10.1016/b978-032303978-9.50011-3

Cited by 10 publications

(7 citation statements)

References 130 publications

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“…22 By contrast, we find that the age distribution and self-reported menopausal status of participants with Bartholin gland cysts are similar to that of women without visible cysts. Furthermore, our population of women with visible cysts can be almost equally stratified into groups older than 50 years of age and younger than 50 years old.…”

Section: Discussioncontrasting

confidence: 77%

Incidental Bartholin Gland Cysts Identified on Pelvic Magnetic Resonance Imaging

Berger

Betschart

Khandwala

et al. 2012

Obstetrics & Gynecology

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Objective To estimate the prevalence of Bartholin gland cysts in asymptomatic women serving as control participants who underwent pelvic magnetic resonance imaging (MRI) as part of research studies. The secondary aim was to investigate potential demographic characteristics associated with Bartholin gland cysts. Methods Pelvic MRIs from 430 control participants enrolled in five research projects were evaluated. All images were evaluated by at least two authors. The presence, laterality, and size of Bartholin gland cysts were recorded. Demographic information for each participant was obtained at the time of enrollment in the respective parent study. Results Approximately 3% of the participants had visible Bartholin gland cysts in MRI scans. Fifty-percent of the cysts were identified on the right side, 42.9% were seen on the left side, and 7.1% were bilateral. The cysts were, on average, 1.3 × 1.2 × 1.3 cm, with dimensions ranging from 0.5 – 2.7 cm. There were no demographic differences between women with and without visible Bartholin gland cysts. Conclusion Bartholin gland cysts occur in 3% of adult women. The cysts affect women of broad ranges of age and parity. Women with visible Bartholin gland cysts are demographically similar to women without cysts on pelvic imaging.

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Section: Discussioncontrasting

confidence: 77%

Incidental Bartholin Gland Cysts Identified on Pelvic Magnetic Resonance Imaging

Berger

Betschart

Khandwala

et al. 2012

Obstetrics & Gynecology

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“…Vulval cancer is the fourth most common gynecologic malignancy accounting for 5% to 8% of all female genital tract malignancies [ 1 ]. The incidence of vulval cancer is on the rise and may be due to the increased life expectancy of the females in the developed societies [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the decrease in the incidence of morbidities after inguinofemoral lymph node clearance, the rate is still high. Inguinofemoral lymph node clearance can be omitted in vulval lesions smaller than 2 cm with infiltration not deeper than 1 mm [ 1 ]. Contralateral lymphadenectomy can only be omitted in small T1 unilateral lesions when the ipsilateral lymph nodes are free, but it is standard if the lesion is 1 cm or less close to the midline [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer

Soliman

Heubner

Wimberger

2012

The Scientific World Journal

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Background. The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer. Methods. This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadenectomy. The detected complications were wound cellulitis, wound seroma formation, wound breakdown, wound infection, and limb lymphoedema. Followup of the patient ran up to 84 months after surgery. Results. Within a total of 64 inguinofemoral lymphadenectomies, 24% of the inguinal wounds were affected with cellulitis, 13% developed a seroma, 10% suffered wound breakdown, 5% showed lower limb edema within a month of the operation, and 21.4% showed lower limb edema during the long-term followup. No significant correlation could be found between saphenous vein ligation and the development of any of the local complications. The 3-year survival rate in our cohort was 89.3%. Conclusions. Local complications after inguino-femoral lymphadenectomy are still very high, with no single pre-, intra-, or postoperative factor that could be incriminated. Saphenous vein sparing provided no significant difference in decreasing the rate of local complications. More trials should be done to study the sentinel lymph node detection technique.

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“…El cáncer de vulva es el cuarto tumor ginecológico más frecuente ya que representa el 5-8% de todas las patologías malignas del tracto genital femenino 1 . La incidencia del cáncer de vulva está en aumento posiblemente debido a la mayor expectativa de vida de las pacientes en las sociedades desarrolladas 2 .…”

Section: Introductionunclassified

Técnica quirúrgica de la linfadenectomía inguinal videoendoscópica en el cáncer de vulva

Roda

Llueca

Maazouzi

et al. 2015

Progresos de Obstetricia y Ginecología

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Recibido el 29 de junio de 2015; aceptado el 21 de agosto de 2015 PALABRAS CLAVEEndoscopia; Linfadenectomía inguinal; Linfadenectomía inguinal videoendoscópica; Cáncer de vulva Resumen Introducción: La afectación de los nódulos linfáticos inguinales es un factor pronóstico importante en pacientes con cáncer de vulva. La disección de los nódulos linfáticos inguinales nos permite la estadificación y el tratamiento de la afectación ganglionar inguinal. Por otra parte, causa morbilidad y está asociada a complicaciones como linfocele, dehiscencia de la herida e infección. La linfadenectomía inguinal videoendoscópica parece ser una nueva y atractiva técnica con menor morbilidad que el abordaje abierto. El objetivo de este trabajo es reportar nuestra técnica de linfadenectomía inguinal videoendoscópica para el tratamiento del cáncer de vulva.Métodos: Se evaluó de manera retrospectiva el caso de una paciente de 78 años de edad con cáncer de vulva a la que se realizó una linfadenectomía inguinal videoendoscópica bilateral.Hallazgos: El tiempo operatorio fue de 140 min y no hubo complicaciones. Tras 3 meses de seguimiento no se observaron signos de edema vulvar, linfedema o linfocele.Conclusiones: La linfadenectomía inguinal videoendoscópica en pacientes con cáncer de vulva es factible en la práctica clínica. Estudios adicionales con un mayor número de pacientes y a más largo plazo de seguimiento son necesarios para confirmar la eficacia oncológica y la posible menor morbilidad de este nuevo enfoque. ß 2015 SEGO. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. KEYWORDS Endoscopy; Inguinal lymphadenectomy; Video EndoscopicSurgical technique for video endoscopic inguinal lymphadenectomy in vulvar cancer Abstract Introduction: Inguinal lymph node involvement is an important prognostic factor in patients with vulvar cancer. Inguinal lymph node dissection allows for staging and treatment of inguinal node disease but causes morbidity and is associated with complications such as lymphocele Prog Obstet Ginecol. 2015;xx(xx)

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Invasive Cancer of the Vulva

Cited by 10 publications

References 130 publications

Incidental Bartholin Gland Cysts Identified on Pelvic Magnetic Resonance Imaging

Incidental Bartholin Gland Cysts Identified on Pelvic Magnetic Resonance Imaging

Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer

Técnica quirúrgica de la linfadenectomía inguinal videoendoscópica en el cáncer de vulva

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