Paget's disease of the vulva: results of different conservative treatments.
OBJECTIVE
To evaluate three conservative treatments for vulvar Paget's disease: wide excision, laser alone, or limited surgery associated with laser.


METHODS
A retrospective analysis of 52 patients treated with wide excision (31 cases), limited surgery, and peripheral laser [Br J Obstet Gynecol 1995;102:359], or laser alone [Gynecol Oncol 1975;3:46].


RESULTS
Mean time to recurrence was 1+/-0.6 years after laser alone, 1.9+/-1.5 years after the association limited excision and peripheral laser, and 2.7+/-1 years after wide excision alone. At 1 year recurrence rates were 67% after laser alone, 33% after the association laser plus surgery, and 23% after wide excision.


CONCLUSIONS
Conservative management preserves vulvar anatomy and function, but recurrence rates are high.
Louis-Sylvestre
C
C
Department of Obstetrics and Gynecology, Maternité Centre Hospitalier Intercommunal, Intercommunal Hospital of Creteil, 40 Avenue de Verdun, 94010 Cedex, Creteil, France.
Haddad
B
B
Paniel
B J
BJ
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D010145:Paget Disease, Extramammary / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000601:surgery*