The prognostic influences of several surgical ways in vulvar carcinoma

Objective: To analysis the prognostic influences of several surgical ways of carcinoma in vulva.Methods: Seventy three patients who were surgically treated in our hospital from 1993 to 2006 were analysed retrospectively.Results: Among the 73 patients,13 cases were performed radical vulvectomy or wide vulvectomy,55 cases were performed radical vulvectomy + groin lymph node excision,5 cases were performed radical vulvectomy and groin +pelvic lymph node excision.StageⅡ patients were 47,there were no significantly differences between three types of surgery(P0.05).Stage Ⅲ patients were 13,the survival rate of patients who were performed radical vulvectomy and groin+pelvic lymph node excision significantly higher than those cases who were performed radical vulvactomy and groin lymph node excision.Conclusion: Clinical stage and lymph node invasion has greatly influenced to the prognosis.According to the clinical stage surgical way is different,stage Ⅱ patients should be performed small traumatic surgery.radical vulvectomy and groin lymph node excision is suitable to the patients stage Ⅲ,and should be individualysed.