title: Surgical Management of Vulvar Cancer.
abstract: Vulvar cancer is a rare malignancy with high curability in early-stage disease, yet poor outcomes for advanced-stage and recurrent disease. Surgical management is at the cornerstone of treatment for most vulvar cancers, and includes conservative and radical resection of the primary vulvar tumor and excision of local lymph nodes, which are major prognostic factors and drive adjuvant treatment. This review summarizes the surgical management of primary squamous cell carcinoma of the vulva, specifically initial treatment guidelines by stage, based on the 2017 NCCN Clinical Practice Guidelines in Oncology for Vulvar Cancer.
authors.affiliation: Department of Surgery, Division of Gynecologic Oncology
authors.forename: Thanh H
authors.initials: TH
authors.lastname: Dellinger
authors.affiliation: Department of Surgery, Division of Gynecologic Oncology
authors.forename: Amy A
authors.initials: AA
authors.lastname: Hakim
authors.affiliation: Department of Surgery, Division of Gynecologic Oncology
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Department of Surgery, Division of Gynecologic Oncology
authors.forename: Mark T
authors.initials: MT
authors.lastname: Wakabayashi
authors.affiliation: Department of Medical Oncology, City of Hope National Medical Center, Duarte, California
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Morgan
authors.affiliation: Department of Surgery, Division of Gynecologic Oncology
authors.forename: Ernest S
authors.initials: ES
authors.lastname: Han
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D006801:Humans; D007264:Inguinal Canal; D008197:Lymph Node Excision; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009367:Neoplasm Staging; D010385:Pelvic Exenteration; D017410:Practice Guidelines as Topic; D018714:Radiotherapy, Adjuvant; D012307:Risk Factors; D021701:Sentinel Lymph Node Biopsy; D014844:Vulva / Q000601:surgery; D014846:Vulvar Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*