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

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Gynaecological Oncology
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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.

Reprinted with permission of the American College of Obstetricians and Gynecologists [Obstetrics and Gynecology (1983) 61: 409]

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References

  1. Krupp PJ, Bohm JW (1978) Lymph gland metastases in invasive squamous cell cancer of the vulva. Am J Obstet Gynecol 130:943–947

    PubMed  CAS  Google Scholar 

  2. Morris JM (1977) A formula for selective lymphadenectomy. Obstet Gynecol 50:152–158

    PubMed  CAS  Google Scholar 

  3. Morley GW (1976) Infiltrative carcinoma of the vulva: Results of surgical treatment. Am J Obstet Gynecol 124:874–884

    PubMed  CAS  Google Scholar 

  4. Rutledge F, Smith JP, Franklin EW (1970) Carcinoma of the vulva. Am J Obstet Gynecol 106:1117–1126

    PubMed  CAS  Google Scholar 

  5. Figge DC, Gaudenz R (1974) Invasive carcinoma of the vulva. Am J Obstet Gynecol 119:382–392

    PubMed  CAS  Google Scholar 

  6. Curry SL, Wharton JT, Rutledge F (1980) Positive lymph nodes in vulvar squamous cell carcinoma. Gynecol Oncol 9:63–67

    Article  PubMed  CAS  Google Scholar 

  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 134:201–206

    PubMed  CAS  Google Scholar 

  8. Barclay DL, Collins CR, Macey AB (1964) Cancer of the Bartholin gland: A review and report of 8 cases. Obstet Gynecol 24:329–334

    PubMed  CAS  Google Scholar 

  9. Piver MS, Xynos FP (1977) Pelvic lymphadenectomy in women with carcinoma of the clitoris. Obstet Gynecol 49:592–595

    PubMed  CAS  Google Scholar 

  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 60:361–368

    PubMed  CAS  Google Scholar 

  11. Hacker NF, Leuchter RS, Berek JS, et al. (1981) Radical vulvectomy and bilateral inguinal lymphadenectomy through separate groin incisions. Obstet Gynecol 58:574–579

    PubMed  CAS  Google Scholar 

  12. Kaplan EL, Meier O (1958) Nonparametric estimation from incomplete observations. JAMA 457:481–485

    Google Scholar 

  13. Mantel N (1966) Evaluation of survival and two new rank order statistics arising in its consideration. Cancer Chemother Rep 50:163–166

    PubMed  CAS  Google Scholar 

  14. Green TH (1978) Carcinoma of the vulva. A reassessment. Obstet Gynecol 52:462–468

    PubMed  Google Scholar 

  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 9:271–279

    Article  PubMed  CAS  Google Scholar 

  16. Collins CG, Lee FYL, Roman-Lopez JJ (1971) Invasive carcinoma of the vulva with lymph node metastases. Am J Obstet Gynecol 109:446–452

    PubMed  CAS  Google Scholar 

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© 1986 Springer-Verlag Berlin Heidelberg

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Hacker, N.F., Berek, J.S., Lagasse, L.D., Leuchter, R.S., Moore, J.G. (1986). Management of Regional Lymph Nodes and their Prognostic Influence on Vulvar Cancer. In: Morrow, C.P., Smart, G.E. (eds) Gynaecological Oncology. Springer, London. https://doi.org/10.1007/978-1-4471-1389-8_26

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  • DOI: https://doi.org/10.1007/978-1-4471-1389-8_26

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1391-1

  • Online ISBN: 978-1-4471-1389-8

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