title: [Reconstruction with skin flaps of the posterior aspect of the thighs after total pelvic evisceration with removal of vulvo-perineal soft tissues in recurrent vulvar squamous carcinoma].
abstract: We report of a case of a fortythree years old women affected by squamous cell cancer of the vulva (T3N0M0). Despite curative treatment (radical vulvectomy with bilateral inguinal and femoral lymphadenectomy), after 41 months she had a local recurrence, retreated with surgery and radiotherapy; another recurrence, after 29 months was treated with chemotherapy, without results. Because of local diffusion with infiltration of the urethra and anus, the patient was submitted to demolitive operation (total pelvic evisceratio, excision of pelvic and perineal soft tissues and reconstruction with rotating skin flaps of the posterior face of the thighs). After two years of follow up, the patient is alive without evidence of disease.
authors.affiliation: Dipartimento di Emergenza e Trapianti d'Organo, Sezione di Chirurgia Generale e Trapianto di Fegato, Università di Bari.
authors.forename: M
authors.initials: M
authors.lastname: Rinaldi
authors.forename: G
authors.initials: G
authors.lastname: Cormio
authors.forename: V
authors.initials: V
authors.lastname: Bucaria
authors.forename: P
authors.initials: P
authors.lastname: Di Tonno
authors.forename: F
authors.initials: F
authors.lastname: Marino
authors.forename: D F
authors.initials: DF
authors.lastname: Altomare
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010385:Pelvic Exenteration / Q000379:methods; D010502:Perineum; D019651:Plastic Surgery Procedures / Q000379:methods*; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*