Retrospective analysis of surgical treatment in 15 cases of vulval carcinoma

Objective:To observe the efficacy of surgical operation for carcinoma of the vulva and study the prevention of postoperative complications.Methods:Fifteen patients were operated for vulvar carcinoma.The clinical data was analyzed retrospectively.Results:Fifteen patients,with a median age 60 years,median symptomatic duration of 10 months.The lesions were located on the labia majora in 10 cases,which accounted for 66.7% of all cases.The size of tumor was less than 2 cm in 1 case,2-5 cm in 12 cases,and greater than 5 cm in 2 cases.The histologic type of 13 patients was squamous cell carcinoma and the other 2 patients were adnocarcinoma.Inguinal lymph node metastasis were found in 4 cases(16.7%).According to FIGO stage,there were 1(6.7%),10(66.7%),3(20.0%),and 1(6.7%)in stage I,II,III,and IV,respectively.The patterns of operation included radical vulvectomy plus bilateral inguinal lymphadenectomy in 10 cases,modified vulvectomy plus ipsilateral inguinal lymphadenectomy in 4 cases,and simple vulvectomy in 1 case.The majority of postoperative complications were wound dehiscence,with a rate of 53.3%.Conclusion:Surgical resection is the primary treatment of vulvar carcinoma,but with a high incidence of wound dehiscence.