Radical vulvectomy with a bilateral pudendal flap in the treatment of a vulvar cancer relapse.
One of the main risk factors for relapse in vulvar cancer after lymph-node metastases is free surgical margins. In the case of a relapse, radical vulvectomy with perineal reconstruction is the first choice. Perineal reconstruction is usually indicated in relapse and unusual for a first surgery, except extensive damage 1, 2, 3, 4, 5.
Gynecology Oncology Unit Fellow Department of Gynecology and Obstetrics La Paz University Hospital-IdiPAZ Paseo de la Castellana 261 28046 Madrid Spain.
Begoña Díaz
0000-0002-7757-1050
BD
de la Noval
General surgery; obstetrics and gynecology; oncology