title: [A case of vulvar melanoma: surgical strategy and five years follow-up].
abstract: We report a case of a woman with vulvar melanoma, arisen from a plane melanocytic lesion, extended from clitoris to the left minor labium. After diagnostic biopsy, a preoperative lymphoscintigraphy with 99m-Tc nanocolloid was performed. Surgery consisted in a radical vulvectomy, radio-controlled lymphadenectomy and vulvar reconstruction by two bilateral subgluteus soft-tissue flaps, anastomosing the urethral and vaginal stumps. Five years follow-up was negative for neoplastic recurrence.
authors.affiliation: Dipartimento di Chirurgia Plastica Riconstruttiva, IRCCS San Gallicano, Istituto IFO, Roma.
authors.forename: E
authors.initials: E
authors.lastname: Migliano
authors.forename: C
authors.initials: C
authors.lastname: Monarca
authors.forename: M
authors.initials: M
authors.lastname: Tedesco
authors.forename: M I
authors.initials: MI
authors.lastname: Rizzo
authors.forename: S
authors.initials: S
authors.lastname: Bucher
mesh_terms: D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008545:Melanoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011300:Preoperative Care; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013524:Surgical Flaps; D013514:Surgical Procedures, Operative / Q000379:methods*; D013668:Technetium Tc 99m Aggregated Albumin; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; C083602:technetium Tc 99m nanocolloid