Advertisement

Management of Regional Lymph Nodes and their Prognostic Influence on Vulvar Cancer

  • N. F. Hacker
  • J. S. Berek
  • L. D. Lagasse
  • R. S. Leuchter
  • J. G. Moore

Abstract

Within the past 5 years, two opposing points of view have been expressed regarding the extent of lymphadenectomy required for treatment of vulvar cancer. Krupp and Bohm suggested that optimum therapy required bilateral pelvic lymphadenectomy in addition to extended vulvectomy and bilateral inguinal lymphadenectomy [1]. On the other hand, Morris [2] advocated omitting the pelvic lymphadenectomy and the contralateral inguinal lymphadenectomy, provided that the primary tumour was unilateral and the ipsilateral inguinal-femoral nodes were negative.

Keywords

Obstet Gynecol Gynaecological Oncology Pelvic Lymphadenectomy Vulvar Cancer Groin Dissection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Krupp PJ, Bohm JW (1978) Lymph gland metastases in invasive squamous cell cancer of the vulva. Am J Obstet Gynecol 130:943–947PubMedGoogle Scholar
  2. 2.
    Morris JM (1977) A formula for selective lymphadenectomy. Obstet Gynecol 50:152–158PubMedGoogle Scholar
  3. 3.
    Morley GW (1976) Infiltrative carcinoma of the vulva: Results of surgical treatment. Am J Obstet Gynecol 124:874–884PubMedGoogle Scholar
  4. 4.
    Rutledge F, Smith JP, Franklin EW (1970) Carcinoma of the vulva. Am J Obstet Gynecol 106:1117–1126PubMedGoogle Scholar
  5. 5.
    Figge DC, Gaudenz R (1974) Invasive carcinoma of the vulva. Am J Obstet Gynecol 119:382–392PubMedGoogle Scholar
  6. 6.
    Curry SL, Wharton JT, Rutledge F (1980) Positive lymph nodes in vulvar squamous cell carcinoma. Gynecol Oncol 9:63–67PubMedCrossRefGoogle Scholar
  7. 7.
    Benedet JL, Turko M, Fairey RN, et al. (1979) Squamous carcinoma of the vulva: Results of treatment 1938 to 1976. Am J Obstet Gynecol 134:201–206PubMedGoogle Scholar
  8. 8.
    Barclay DL, Collins CR, Macey AB (1964) Cancer of the Bartholin gland: A review and report of 8 cases. Obstet Gynecol 24:329–334PubMedGoogle Scholar
  9. 9.
    Piver MS, Xynos FP (1977) Pelvic lymphadenectomy in women with carcinoma of the clitoris. Obstet Gynecol 49:592–595PubMedGoogle Scholar
  10. 10.
    Leuchter RS, Hacker NF, Voet RL, et al. (1982) Primary carcinoma of Bartholin’s gland: A report of 14 cases and review of the literature. Obstet Gynecol 60:361–368PubMedGoogle Scholar
  11. 11.
    Hacker NF, Leuchter RS, Berek JS, et al. (1981) Radical vulvectomy and bilateral inguinal lymphadenectomy through separate groin incisions. Obstet Gynecol 58:574–579PubMedGoogle Scholar
  12. 12.
    Kaplan EL, Meier O (1958) Nonparametric estimation from incomplete observations. JAMA 457:481–485Google Scholar
  13. 13.
    Mantel N (1966) Evaluation of survival and two new rank order statistics arising in its consideration. Cancer Chemother Rep 50:163–166PubMedGoogle Scholar
  14. 14.
    Green TH (1978) Carcinoma of the vulva. A reassessment. Obstet Gynecol 52:462–468PubMedGoogle Scholar
  15. 15.
    Iversen T, Aalders JG, Christensen A, et al. (1980) Squamous cell carcinoma of the vulva: A review of 424 patients, 1956–1974. Gynecol Oncol 9:271–279PubMedCrossRefGoogle Scholar
  16. 16.
    Collins CG, Lee FYL, Roman-Lopez JJ (1971) Invasive carcinoma of the vulva with lymph node metastases. Am J Obstet Gynecol 109:446–452PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • N. F. Hacker
  • J. S. Berek
  • L. D. Lagasse
  • R. S. Leuchter
  • J. G. Moore

There are no affiliations available

Personalised recommendations