title: [Secondary vulvectomy treatment results in local recurrence of a vulvar carcinoma following electron irradiation].
abstract: Between 1965 and 1979 vulvectomy was performed in 41 patients because of histologically demonstrated local recurrence of a vulval carcinoma after electron beam therapy. Of the patients thus treated, 36.6% survived more than 3 years and 19.5% more than 5 years. An analysis of this group of patients shows that only recurrences less than 3 cm in size have a good prognosis with secondary vulvectomy. However, even with a more severe local condition, a secondary vulvectomy is justified as a palliative. Previous electron beam therapy does not represent an absolute contraindication to surgery, even though there may only be secondary healing in almost all cases.
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009367:Neoplasm Staging; D011379:Prognosis; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*
vernacular_title: Behandlungsergebnisse durch sekundäre Vulvektomie bei Lokalrezidiven nach Elektronenbestrahlung eines Vulvakarzinoms.