Surgical management of squamous cell vulvar cancer without clitoris, urethra or anus involvement
Identifieur interne : 000147 ( Main/Exploration ); précédent : 000146; suivant : 000148Surgical management of squamous cell vulvar cancer without clitoris, urethra or anus involvement
Auteurs : Alpaslan Kaban [Turquie] ; I K Kaban [Turquie] ; Selim Af Ar [Turquie]Source :
- Gynecologic Oncology Reports [ 2352-5789 ] ; 2017.
Abstract
Vulvar cancers, which constitute 5% of all gynecologic cancers, are the fourth most common female genital cancers, preceded by uterine, ovarian and cervical cancers. The treatment methods employed for vulvar cancers have changed over the years, with previously applied radical surgical approaches, such as en bloc resection, being gradually suspended in favor of treatment approaches that require dissection of less tissue. While the removal of less tissue, which today's approaches have focused on, prevents morbidity, this method seems to result in higher risks of recurrence. It is therefore important that the balance between preventing the recurrence of the disease and forefending against postoperative complications and vulvar deformity be properly understood. As a working assumption, if patients with vulvar cancer are diagnosed at an early stage, properly evaluated and administered appropriate treatment, the most positive results can be obtained. This paper aims to highlight this assumption and demonstrate, through the provision of actual data, how to plan the treatment approach for patients who are diagnosed early. Statements extracted from the National Comprehensive Cancer Network (NCCN) Guidelines Version 1.2016 Sub-Committees on vulvar squamous cell carcinoma and articles by the European Society of Gynaecological Oncology (ESGO) regarding Vulvar Cancer Recommendations were used to obtain updated information.
Url:
DOI: 10.1016/j.gore.2017.02.004
PubMed: 28275696
PubMed Central: 5331156
Affiliations:
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The treatment methods employed for vulvar cancers have changed over the years, with previously applied radical surgical approaches, such as en bloc resection, being gradually suspended in favor of treatment approaches that require dissection of less tissue. While the removal of less tissue, which today's approaches have focused on, prevents morbidity, this method seems to result in higher risks of recurrence. It is therefore important that the balance between preventing the recurrence of the disease and forefending against postoperative complications and vulvar deformity be properly understood. As a working assumption, if patients with vulvar cancer are diagnosed at an early stage, properly evaluated and administered appropriate treatment, the most positive results can be obtained. This paper aims to highlight this assumption and demonstrate, through the provision of actual data, how to plan the treatment approach for patients who are diagnosed early. Statements extracted from the National Comprehensive Cancer Network (NCCN) Guidelines Version 1.2016 Sub-Committees on vulvar squamous cell carcinoma and articles by the European Society of Gynaecological Oncology (ESGO) regarding Vulvar Cancer Recommendations were used to obtain updated information.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abu Rustum, N R" uniqKey="Abu Rustum N">N.R. Abu-Rustum</name></author><author><name sortKey="Alektiar, K" uniqKey="Alektiar K">K. Alektiar</name></author><author><name sortKey="Iasonos, A" uniqKey="Iasonos A">A. Iasonos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Andrews, S" uniqKey="Andrews S">S. Andrews</name></author><author><name sortKey="Williams, B" uniqKey="Williams B">B. Williams</name></author><author><name sortKey="Depriest, P" uniqKey="Depriest P">P. DePriest</name></author><author><name sortKey="Gallion, H" uniqKey="Gallion H">H. 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Sheng</name></author><author><name sortKey="Niu, J" uniqKey="Niu J">J. Niu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Turquie</li></country></list><tree><country name="Turquie"><noRegion><name sortKey="Kaban, Alpaslan" sort="Kaban, Alpaslan" uniqKey="Kaban A" first="Alpaslan" last="Kaban">Alpaslan Kaban</name></noRegion><name sortKey="Af Ar, Selim" sort="Af Ar, Selim" uniqKey="Af Ar S" first="Selim" last="Af Ar">Selim Af Ar</name><name sortKey="Kaban, I K" sort="Kaban, I K" uniqKey="Kaban I" first="I K" last="Kaban">I K Kaban</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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