Vulvar carcinoma and treatment (200-2013)

Abstract

Introduction: In recent years it the number of vulvar carcinomas has increased, especially in patients younger than 50, associated with the increase of number of cases of vulvar intraepithelial neoplasia.
Objective: Describe our casuistic of vulvar neoplasia in the last 14 years and Determine prognostic variables for survival.
Methods: Aretrospective review of all vulvar malignancies is conducted for those treated at Obstetrics and Gynecology Department of Elche University General Hospital, Alicante, Spain, from 2000 to 2013.
Results: Our series included 38 patients. The most frequent neoplasm was squamous cell carcinoma (78.9 %). Global survival at 2 years was 65 %. Age, lymph node metastasis, involvement of resection margins and tumor stage, were statistically significant predictors for overall survival.
Conclusions: Inguino-femoral lymph node status is an important prognostic factors for overall survival. Conservative surgery improves postoperative morbidity without modifying outcomes.