Vulvar Cancer Treatment and Prevention
established based on each case; there is no unique therapy waiting for every patient. Every
patient with cancer is a special
case and requires appropriate treatment and
management. Choosing a therapy or combination of therapies depends on several factors
such as the type of cancer, its degree of spread, presence
of other diseases or not, age and general health status
of the person.
Although vulvar cancer
treatment may include chemotherapy and radiation therapy, surgery is often the
desired choice by most health professionals. In advanced cancer, surgical therapy can be total vulvectomy,
complete removal all or part of the vulva; along
with lymphadenectomy, removal
of the lymph nodes.
In stage I and stage II,
surgery can be lymphadenectomy and limited to only the affected side, provided that the tumor affects one
side and examination of the lymph nodes has been negative for cancer presence, without radical surgery.
Lymphadenectomy is mandatory in almost all cases.
Total vulvectomy is a
relatively heavy procedure performed mostly in older patients or to treat advanced malignant tumors of the
vulva. Plastic reconstruction of the vulva, using skin flaps transferred from the
skin and muscle of the abdomen or femoris, is required after the surgical removal.
surgery is not possible; in this case transcutaneous radiotherapy and brachytherapy are practiced. But
radiation to the perineum and groin it
is necessary only when the patient has a condition that contraindicates the surgery, being an elderly for
instance. This is performed to prolong the life of the patient. Chemotherapy associated with radiotherapy or
surgery, is not really helpful therapeutically.
Vulvar Cancer Prevention
Vulvar cancer prevention
involves good local hygiene, regular gynecological examination even after menopause, and immediate removal of
any suspicious lesion. Early detection of suspected abnormalities during routine exam (or due to complaints
of the patient) can require biopsy to confirm or rule out the presence of the cancer in the vulva. This not only remove any doubt from the patient
but it also helps reduce the incidence of severe forms (too often encountered today) or complications of the
Another vulva cancer prevention mean is to
treat HPV infection as recommended. The ideal choice is to prevent the infection in the first
Vulvar Cancer Diagnosis and Stages