title: Current vulvar cancer treatment in Bulgaria.
abstract: OBJECTIVE
  Our aim was to outline the treatment of carcinoma of the vulva at the National Oncological Centre in Sofia, Bulgaria.
  
  
  METHODS
  We examined the records of 250 patients over a 10-year period treated at the Gynaecologic-Oncology Clinic of our Centre.
  
  
  RESULTS
  There were 130 patients (52%) treated with surgery and radiation. There were 120 patients (48%) treated by surgery only. Thirty of these patients were treated by pelvic exenteration with radical vulvectomy. The five-year survival rate was 36% - 12 patients. The 1-year survival rate for all patients was 80% - 200 patients. The five-year survival rate was 50%.
  
  
  CONCLUSIONS
  We have results similar to other clinics in the world working in this field. We now emphasize external radiation for advanced disease but the treatment must be individualized.
  
  
  CONCLUSIONS
  We have outlined the treatment of carcinoma of the vulva at our Centre, over a 10-year period.
authors.affiliation: National Specialized Hospital for Active Treatment in Oncology, Gynecologic-Oncology Clinic, Sofia, Bulgaria.
authors.forename: S
authors.initials: S
authors.lastname: Ivanov
mesh_terms: D002031:Bulgaria; D005260:Female; D006801:Humans; D010385:Pelvic Exenteration; D015996:Survival Rate; D014846:Vulvar Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000628:therapy*