title: Proctectomy combined with vulvectomy for carcinoma of the vulva.
abstract: Carcinoma of the vulva occasionally involves the anal canal and the lower rectum. A method is presented for removal of the vulva, anus, and distal rectum by the perineal approach.
mesh_terms: D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D001005:Anus Neoplasms / Q000556:secondary / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D012007:Rectum / Q000601:surgery*; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*