title: [Second vulvar cancer after treatment for cervical cancer].
abstract: OBJECTIVE
  The purpose of this study was to evaluate the incidence of subsequent vulvar cancer in a group treated previously for cervical cancer.
  
  
  METHODS
  Between 1965 and 1993 180 patients with vulvar cancer were treated in the Great Poland Cancer Center. 10 of them were irradiated earlier for inoperable cervical cancer. Median age of patients with second cancer was 61.2 years old, ranging from 52 to 77 years. Period between occurrence of both tumors ranged from 4 months to 36 years (median--14 years and 4 month).
  
  
  RESULTS
  5-year survival rate was 60.0% (6/10), 5 of the patients survived this period without symptoms, one was treated successfully surgically. Length of time passed between first and second cancer seems to have no influence one the survival rate, other correlations not being found.
  
  
  CONCLUSIONS
  1. Second vulvar cancer can develop at different times after recognizing of the first. Long-term careful clinical controlling of groups of patients treated for cervical cancer is necessary. 2. In 6 cases (60.0%) patients were treated successfully by surgery.
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000175:diagnosis / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000601:surgery / Q000628:therapy*; D014846:Vulvar Neoplasms / Q000175:diagnosis / Q000453:epidemiology*
vernacular_title: Rak sromu u chorych leczonych w przeszłości na raka szyjki macicy.