title: [Initial surgical management of squamous carcinoma of the vulva].
abstract: Vulvar cancer accounts for approximately 4% of gynecological malignancies. At the Instituto Nacional de Cancerologia in Mexico it occupies the fourth place. The purpose of this study is to assess the management of squamous carcinoma of the vulva with initial surgical treatment. It is a descriptive retrospective, observational study, from January 1, 2002 to December 31, 2012. Twenty-seven patients, clinical stages I, II, or III, initial surgical management, with at least one year of follow-up were included. In 51.85% a partial vulvectomy was performed and in 40.74% a wide excision; 66.66% underwent inguinofemoral dissection. Recurrence occurred in 25.91% of cases and the overall survival at 10 years was 63%. It is concluded that with invasion of up to 1 mm of lymph node, affection is 0%; with invasion of 1 mm and up to 5 mm this increases to 25%; an invasion of more than 5 mm implies up to 45%. Recurrence in our study was primarily distant, necessitating long-term monitoring with emphasis on symptoms to request imaging studies when suspected. Adjuvant therapy should be offered to patients with positive nodes, close or positive margins, and tumors larger than 4 cm.
authors.affiliation: Departamento de Ginecología Oncológica (INCan) Ciudad de México, México.
authors.forename: Israel
authors.initials: I
authors.lastname: Salazar-Báez
authors.affiliation: Departamento de Ginecología Oncológica (INCan) Ciudad de México, México.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Salazar-Campos
authors.affiliation: Subdirección de Investigación Clínica (INCan), Ciudad de México, México.
authors.forename: Alhely
authors.initials: A
authors.lastname: López-Arias
authors.affiliation: Dirección de Investigación (INCan), Ciudad de México, México.
authors.forename: Verónica
authors.initials: V
authors.lastname: Villavicencio-Valencia
authors.affiliation: Dirección de Investigación (INCan), Ciudad de México, México.
authors.forename: Jaime
authors.initials: J
authors.lastname: Coronel-Martínez
authors.affiliation: Dirección de Investigación (INCan), Ciudad de México, México.
authors.forename: Myrna
authors.initials: M
authors.lastname: Candelaria-Hernández
authors.affiliation: Departamento de Patología. Instituto Nacional de Cancerología (INCan), Ciudad de México, México.
authors.forename: Delia
authors.initials: D
authors.lastname: Pérez-Montiel
authors.affiliation: Dirección de Investigación (INCan), Ciudad de México, México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Pérez-Plasencia
authors.affiliation: Secretaría de Investigación y Posgrado Universidad Autónoma de Nayarit, Ciudad de México, México.
authors.forename: Aurora Elizabeth
authors.initials: AE
authors.lastname: Rojas-García
authors.affiliation: Subdirección de Investigación Clínica (INCan), Ciudad de México, México.
authors.forename: David
authors.initials: D
authors.lastname: Cantú de León
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012189:Retrospective Studies; D015996:Survival Rate; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery*