title: [Analysis of treatment results of vulvar cancer].
abstract: OBJECTIVE
  To evaluate clinical prognostic factors and outcome for patients with vulvar cancer.
  
  
  METHODS
  We conducted a retrospective review of the medical records of 32 patients treated at the Lower Silesian Cancer Center in Wrocław for vulvar cancer from 1996 to 1998.
  
  
  RESULTS
  The stages of disease were as follows: 0--9%, Ia--22%, Ib--16%, II--22% and III--31%. The overall probability of survival was 46.2% at 5 years. The probability of disease-free survival was 40% at 5 years. Recurrence of disease was found in 10 patients (7 cases of local recurrences and 3 cases of dissemination).
  
  
  CONCLUSIONS
  The most important prognostic factors were: patients' age, depth of invasion, lymph node status and tumor size. The clinical outcome was strongly influenced by general state of health of patients which makes impossible to perform optimal treatment in many cases. The prognosis in cases in which recurrence occurred is usually poor.
authors.affiliation: Kliniki Ginekologii Onkologicznej AM we Wrocławiu na bazie Dolnoślaskiego Centrum Onkologii we Wrocławiu, Wrocław.
authors.forename: Rafał
authors.initials: R
authors.lastname: Matkowski
authors.forename: Jacek
authors.initials: J
authors.lastname: Dryl
authors.forename: Jan
authors.initials: J
authors.lastname: Kornafel
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011044:Poland / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000453:epidemiology* / Q000628:therapy*