RT  - European Journal of Gynaecological Oncology
ID  - 10.12892/ejgo2783.2016
T1  - The mandatory role of groin lymphadenectomy in clinical Stages IB and II vulvar cancer
A1  - M.E. Căpîlna
A1  - B. Szabo
A1  - C.R. Nicolau
A1  - A. Daniilidis
A1  - R.M. Neagoe
A1  - B. Moldovan
K1  - Vulvar cancer; Lymphadenectomy.
YR  - 2016
SP  - 86
AB  - <p><i>Purpose of investigation: </i>To analyze the prevalence of inguinofemoral lymph nodes metastases in clinical Stages IB-Ⅱ vulva cancer. <i>Materials and Methods: </i>Twenty-two patients with FIGO Stages IB-Ⅱ FIGO vulva cancer with no clinically and imagistic evidence of nodes metastases were treated in the present clinic. The surgical procedures consisted in radical vulvectomy plus inguinofemoral lymphadenectomy. <i>Results: </i>The final pathological result was squamous carcinoma in 20 patients, vulva melanoma in one, and carcinosarcoma in one. The prevalence of positive lymph nodes was 45.4%. The median number of harvested lymph nodes was 14.0 per groin (between four and 27). Twelve patients (54.5%) developed some wound complications, but all were resolved. At the present time, 20 patients are alive, but the follow-up period is short for many of them; two patients died of disease. <i>Conclusion: </i>The prevalence of groin metastases in Stages IB-Ⅱ vulvar cancer is high. A thorough inguino-femoral dissection seems necessary, despite the high incidence of wound complications.</p>