title: [Operative treatment of vulvar cancer].
abstract: The study reported in this paper was concerned with the problems and results of surgical treatment of invasive vulval carcinoma. Surgery was performed on 228 patients, 101 of them (44.2%) with Stage III and Stage IV carcinoma. In 156 women radical vulvectomy was combined with pelvic and inguinal lymphadenectomy. Lymph node metastases were found postoperatively in 110 patients (48%). Thirty-six patients (32.7%) had lymph node metastases in the small pelvis. The operation coefficient was 82%; postoperative morbidity was 21.4%, postoperative mortality 0.4%. Among the 228 patients operated on the 5-year survival rate was 59.2% (135 patients), and the three-year survival rate 71% (163 patients).
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011379:Prognosis; D012509:Sarcoma / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*
vernacular_title: Zur operativen Behandlung des Vulvakarzinoms.