CLINICAL IMAGE

Radical vulvectomy with a bilateral pudendal flap in the treatment of a vulvar cancer relapse ~ a Dıaz de la Noval Begon Gynecology Oncology Unit Fellow, Department of Gynecology and Obstetrics, La Paz University Hospital-IdiPAZ, Paseo de la Castellana 261, 28046, Madrid, Spain

Correspondence ~a Dıaz de la Noval, La Paz University Begon Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain. Tel: +34616306566; E-mail: [email protected]

Funding Information No sources of funding were declared for this study. Received: 27 March 2016; Revised: 11 October 2016; Accepted: 21 October 2016

Key Clinical Message One of the main risk factors for relapse in vulvar cancer after lymph-node metastases is free surgical margins. In the case of a relapse, radical vulvectomy with perineal reconstruction is the first choice. Perineal reconstruction is usually indicated in relapse and unusual for a first surgery, except extensive damage (1–5). Keywords General surgery, obstetrics and gynecology, oncology.

Clinical Case Reports 2017; 5(2): 197–198 doi: 10.1002/ccr3.770

Clinical Image Description A 68-year-old woman was referred to our institution to assess for radiotherapy in a vulvar cancer relapse, two years after she was treated with radical vulvectomy and had no metastatic lymph node after performing the sentinel lymph-node technique. She received adjuvant external-beam radiotherapy because of a medial surgical margin

Radical vulvectomy with a bilateral pudendal flap in the treatment of a vulvar cancer relapse.

One of the main risk factors for relapse in vulvar cancer after lymph-node metastases is free surgical margins. In the case of a relapse, radical vulv...
812KB Sizes 0 Downloads 12 Views