title: Vulvar neoplasm and reconstruction of a lesion with a vertical rectus abdominis myocutaneous flap: case report.
abstract: A 41-year-old nulliparous woman was admitted to the Institute of Gynecology and Obstetrics in 2007 with a painless tumor mass invading the whole vulvoperineal and gluteal region. Pathohistological biopsy revealed FIGO Stage II squamocellular invasive carcinoma, but clinically it was Stage IVa verucal vulvar carcinoma because of malignant infiltration to the distal part of the vagina and bilateral gluteal region. The patient underwent radical vulvectomy with bilateral inguinofemoral lymphadenectomy and partial vaginectomy. Reconstruction was performed after three weeks using a distally based vertical rectus abdominis myocutaneous flap (VRAM). A new entrance of the vagina was created. The patient was further treated with radiation therapy.
authors.affiliation: Institute for Gynecology and Obstetrics, University of Belgrade, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: S
authors.initials: S
authors.lastname: Petković
authors.forename: J
authors.initials: J
authors.lastname: Jeremić
authors.forename: K
authors.initials: K
authors.lastname: Jeremić
authors.forename: Z
authors.initials: Z
authors.lastname: Nikolić
authors.forename: A
authors.initials: A
authors.lastname: Stefanović
authors.forename: M
authors.initials: M
authors.lastname: Maksimović
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D018289:Carcinoma, Verrucous / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D014621:Vagina / Q000601:surgery; D014844:Vulva / Q000601:surgery; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery*