title: [Vulvar cancers. Retrospective study of 23 cases at the Cancer Institute of Dakar].
abstract: The vulvar cancer is an uncommon disease which is beginning mostly on vulvar intraepithelial neoplasma and it keeps a very bad prognostic. The purpose of this study is to report the epidemiological, the anatomo-clinic and and to discuss the treatment. We tell about 23 vulvar cancer from 1956 to 1995 which were followed at the cancer Institut of Dakar. The mean age of patients is 47 years and they are on menopause in 78.6%. The most of the tumors are ulcerate (96%). The clinical investigation find according the staging of FIGO: 15 tumors (T2), 8 tumors (T3), 6 tumors (N1), 9 tumors (N2) and 1 tumor (M1b). The surgery is the principal treatment with 6 radical vulvectomy and 17 palliative vulvectomy. The surgery was associated with radiotherapy and chemotherapy. So the vulvar cancer is uncommon in our country and concern the young wives. The vulvectomy with lymphadenectomy is the principal treatment; the prognostic still very bad because the diagnostic is often later.
authors.affiliation: Institut du Cancer-Faculte de Médecine, de Pharmacie et d'Odonto-Stomatologie, Universite Cheikh Anta Diop de Dakar-Sénégal.
authors.forename: A
authors.initials: A
authors.lastname: Dem
authors.forename: A A
authors.initials: AA
authors.lastname: Kasse
authors.forename: M
authors.initials: M
authors.lastname: Diop
authors.forename: A K
authors.initials: AK
authors.lastname: Diop
authors.forename: P S
authors.initials: PS
authors.lastname: Diop
authors.forename: B
authors.initials: B
authors.lastname: Dembele
authors.forename: P
authors.initials: P
authors.lastname: Toure
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001918:Brachytherapy; D017024:Chemotherapy, Adjuvant; D005260:Female; D020073:Gravidity; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods; D010298:Parity; D018579:Patient Selection; D010385:Pelvic Exenteration; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D015996:Survival Rate; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*