Surgical treatment of verrucous carcinoma of the vulva - 15-year experience and literature review

Dragan Stajic, Borislav Golijan, Aljosa Mandic, Slobodan Maricic
2021 Srpski Arhiv za Celokupno Lekarstvo  
This paper seeks to present surgical procedures, results and complications of treatment of verrucous carcinoma (VC) of the vulva treated in at Gynecological and Obstetric Clinics within the Faculty of Medicine, University of Novi Sad (Serbia), as well as literature review of surgical treatment of VC. During the period of 15 years (2005 to 2019), we performed 76 surgeries of vulvar cancer, 9 (11.8%) due to VC of the vulva. In surgical treatment of VC vulva, we performed complete surgical
more » ... of the tumor (3), complete surgical excision of the tumor with defect coverage using VY fasciocutaneous skin flap (2), simplex vulvectomy (2), radical hemivulvectomy (1) and radical vulvectomy (1). We came across 2 main complications (22.2%): suture bleeding within 12 hours after excision in 1 patient (11.1%) and lower extremity lymphoedema after inguinofemoral lymphadenectomy with ligation of the great saphenous vein in 1 patient (11.1%). In total number of 9 treated patients survival rate was 88.8% (8 patients) with death rate of 11.1% (1 patient) within 12 months after surgery. In 3 patients (33.3%) after surgery, the disease returned: 1 - residual tumor after surgery, 1 - relapse on the other side 1 year after surgery, 1 - newly developed invasive squamous cell carcinoma 10 years after primary surgery.
doi:10.2298/sarh200902059s fatcat:d4qidsjfeze4rcaoyhrjnlfe5i