Case 1 – Vulvectomy plus posterior exenteration with plastic reconstruction in advanced cancer – a case report

 

Authors

  • G. Schmid Department of Obstetrics and Gynaecology, Medical University Innsbruck, Austria.
  • D. Reimer Department of Obstetrics and Gynaecology, Medical University Innsbruck, Austria.
  • T. Bauer Department of Plastic-, Reconstructive- and Aesthetic Surgery, Medical University Innsbruck, Austria.
  • M. Zitt Department of Visceral, Transplant and Thoracic Surgery, Medical University Innsbruck, Austria.
  • A.G. Zeimet Department of Obstetrics and Gynaecology, Medical University Innsbruck, Austria.
  • C. Marth Department of Obstetrics and Gynaecology, Medical University Innsbruck, Austria.
  • Stefano Greggi Gynecologic Oncology Surgery Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, Naples, Italy

Keywords:

posterior exenteration, squamous cell carcinoma, vulvar cancer, vulvectomy

Abstract

This case report describes a 47-year-old patient with advanced vulvar cancer diagnosed in May 2014. Treatment included a vulvectomy, inguino-femoral and pelvic lymphadenectomy combined with posterior exenteration and plastic reconstruction. The choice between radical surgery and radio-chemo irradiation, both of which are valid therapeutic options in locally-advanced vulvar cancer, is discussed.