title: Excellent cosmetic and functional result achieved by vulvar reconstruction using a V-Y myocutaneous flap after vulvectomy and lymphadenectomy in a young woman with stage II vulvar cancer.
abstract: Vulvar carcinoma is currently accounting for 4% to 5% of all female genital tract malignancies. We report a 31-year-old woman with a 4-year history of vulvar pruritus and a progressively growing painless mass. The lesion was an invasive squamous cell carcinoma and contained oncogenic human papillomavirus (HPV) type 16. An excellent cosmetic and functional treatment result was achieved by radical vulvectomy with selective inguinal-femoral lymphadenectomy (using separate incisions) followed by immediate reconstructive surgery using a V-Y myocutaneous flap.
authors.affiliation: Gynecology, OncologyGroup of the Maternity Hospital Leonor Mendes de Barros, Health State Department, São Paulo, Brazil. brenna.ops@zaz.com.br
authors.forename: Sylvia M F
authors.initials: SM
authors.lastname: Brenna
authors.forename: Antenor
authors.initials: A
authors.lastname: Bonatto
authors.forename: Ismael D C
authors.initials: ID
authors.lastname: Guerreiro da Silva
authors.forename: Andréa S Q
authors.initials: AS
authors.lastname: Campos
authors.forename: Kari J
authors.initials: KJ
authors.lastname: Syrjänen
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D027383:Papillomaviridae / Q000302:isolation & purification; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000175:diagnosis / Q000601:surgery*