[Cancer of the vulva].
Identifieur interne : 012798 ( Main/Exploration ); précédent : 012797; suivant : 012799[Cancer of the vulva].
Auteurs : A. Popovici ; G. Mitulescu ; V. Pop ; C A IliescuSource :
- Chirurgia (Bucharest, Romania : 1990) [ 1221-9118 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (épidémiologie), Femelle, Humains, Lymphadénectomie, Roumanie (épidémiologie), Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la vulve (), Tumeurs de la vulve (anatomopathologie), Tumeurs de la vulve (mortalité), Vulve ().
- MESH :
- anatomopathologie : Tumeurs de la vulve.
- mortalité : Tumeurs de la vulve.
- épidémiologie : Complications postopératoires, Roumanie.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphadénectomie, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la vulve, Vulve.
- Wicri :
- geographic : Roumanie.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Romania.
- epidemiology : Postoperative Complications.
- mortality : Vulvar Neoplasms.
- pathology : Vulvar Neoplasms.
- surgery : Vulva, Vulvar Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymph Node Excision, Middle Aged, Neoplasm Staging.
Abstract
Our study includes 50 patients operated on between on between 1970 - 1995 for vulvar carcinoma. The age of patients varied from 36 to 85 years old with a media of 59.4. The localisation of the lesions were: 42 (84%) on the major labia; 7 on the minor labia; 1 on the clitoris and 1 on the Bartholin's gland. Histopathologically there were 46 (92%) squamous carcinoma, 2 adenocarcinoma and 2 fibrosarcoma. The staging after FIGO classification: stage 1--7 patients (14%); II--22 (44%); III--20 (40%); IV--I (2%). Palpable lymphadenopathy in the inguino-femoral regions has been present to 24 (48%) patients, but with positive nodes (N+) only 16 (32%). Preoperative radiant therapy was applied to 21 patients (42%). All the patients were operated on: 1. total vulvectomy (vv) 15 cases (30%); 2. total vv + various lymphadenectomies 23 (46%); 3. partial vv 8 (16%); 4, different interventions 4 (8%). Iterative intervention for recurrencies: 9 cases (1 of them operated on by us 4 years anterior). Postoperative morbidity was present to 27 patients (52%): the main complication was the local infection of the wound +/- wound break-down; 5 of those patients presented also persistent lymphorrhagia. We don't noticed postoperative lymphedema of the inferior limb (limbs). Without postoperative lethality. Postoperative all the patients were submitted to a complimentary oncological treatment. The longest survival after the combined treatment was available specially for "N-"patients (but not exclusive). We verified 29 (58%) patients from the total of 50 (the rest being lost of evidence or having a short postoperative interval of time). The index of survival was: 1 year: 29 (100%); 3 years: 23 (79%); 5 years 16% (56%); and between 6 and 25 years 9 (31%).
PubMed: 8924793
Affiliations:
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Le document en format XML
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<author><name sortKey="Mitulescu, G" sort="Mitulescu, G" uniqKey="Mitulescu G" first="G" last="Mitulescu">G. Mitulescu</name>
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<author><name sortKey="Pop, V" sort="Pop, V" uniqKey="Pop V" first="V" last="Pop">V. Pop</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Romania (epidemiology)</term>
<term>Vulva (surgery)</term>
<term>Vulvar Neoplasms (mortality)</term>
<term>Vulvar Neoplasms (pathology)</term>
<term>Vulvar Neoplasms (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Roumanie (épidémiologie)</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la vulve ()</term>
<term>Tumeurs de la vulve (anatomopathologie)</term>
<term>Tumeurs de la vulve (mortalité)</term>
<term>Vulve ()</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Vulva</term>
<term>Vulvar Neoplasms</term>
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<term>Aged, 80 and over</term>
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<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de la vulve</term>
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<front><div type="abstract" xml:lang="en">Our study includes 50 patients operated on between on between 1970 - 1995 for vulvar carcinoma. The age of patients varied from 36 to 85 years old with a media of 59.4. The localisation of the lesions were: 42 (84%) on the major labia; 7 on the minor labia; 1 on the clitoris and 1 on the Bartholin's gland. Histopathologically there were 46 (92%) squamous carcinoma, 2 adenocarcinoma and 2 fibrosarcoma. The staging after FIGO classification: stage 1--7 patients (14%); II--22 (44%); III--20 (40%); IV--I (2%). Palpable lymphadenopathy in the inguino-femoral regions has been present to 24 (48%) patients, but with positive nodes (N+) only 16 (32%). Preoperative radiant therapy was applied to 21 patients (42%). All the patients were operated on: 1. total vulvectomy (vv) 15 cases (30%); 2. total vv + various lymphadenectomies 23 (46%); 3. partial vv 8 (16%); 4, different interventions 4 (8%). Iterative intervention for recurrencies: 9 cases (1 of them operated on by us 4 years anterior). Postoperative morbidity was present to 27 patients (52%): the main complication was the local infection of the wound +/- wound break-down; 5 of those patients presented also persistent lymphorrhagia. We don't noticed postoperative lymphedema of the inferior limb (limbs). Without postoperative lethality. Postoperative all the patients were submitted to a complimentary oncological treatment. The longest survival after the combined treatment was available specially for "N-"patients (but not exclusive). We verified 29 (58%) patients from the total of 50 (the rest being lost of evidence or having a short postoperative interval of time). The index of survival was: 1 year: 29 (100%); 3 years: 23 (79%); 5 years 16% (56%); and between 6 and 25 years 9 (31%).</div>
</front>
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<tree><noCountry><name sortKey="Iliescu, C A" sort="Iliescu, C A" uniqKey="Iliescu C" first="C A" last="Iliescu">C A Iliescu</name>
<name sortKey="Mitulescu, G" sort="Mitulescu, G" uniqKey="Mitulescu G" first="G" last="Mitulescu">G. Mitulescu</name>
<name sortKey="Pop, V" sort="Pop, V" uniqKey="Pop V" first="V" last="Pop">V. Pop</name>
<name sortKey="Popovici, A" sort="Popovici, A" uniqKey="Popovici A" first="A" last="Popovici">A. Popovici</name>
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