Hip disarticulation for recurrent vulvar cancer in the groin.
A patient with squamous cell carcinoma of the vulva treated with a radical vulvectomy and bilateral inguinal and femoral lymphadenectomies utilizing separate groin incisions, subsequently developed a recurrence in the skin bridge between the vulvar and groin excisions. Following groin irradiation with chemosensitization, the tumor progressed to involve the superior public ramus and femoral vessels. A left hip disarticulation and resection of a portion of the superior pubic ramus was performed. The patient has been free of disease for 3 years. The advantages of this procedure over a hemipelvectomy include shorter operative time, reduced blood loss, better fascial closure of the abdomen, and the creation of a stump which is more amendable to prosthetic fitting.
Powell
J L
JL
Department of Obstetrics and Gynecology, Tufts University School of Medicine, Springfield, Massachusetts.
Donovan
J T
JT
Reed
W P
WP
D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D004188:Disarticulation; D005260:Female; D006119:Groin; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014846:Vulvar Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*