VULVAR CANCER: RETROSPECTIVE STUDY RELATING TO 11 CASES

Soukaina Fekkoul Zaineb Chatbi
2022 Zenodo  
Invasivecarcinomaofthevulvaisarareneoplasticdisease, representing5%ofgynecologicalcancers. It occurs most often in elderlywomen. Theobjectiveofthisworkwastoevaluatetheepidemiological, clinical, histologicalandtherapeuticprofileofaseriesofpatientswithvulvarcancer.Thiswasaretrospectiveanalyticalstudy of a series of 11 patients treated for vulvar cancer in the gynecological obstetrics CHU MohammedVIdepartment in Oujdaduringthe period fromSeptember 2014 to July2022. The average age of the patients
more » ... as 62 years (range 51-78 years), 82% of patients were multiparous.Theaveragedelayof consultation was8months, morethan 6 monthsin 60 %. Clinicalsymptomatologywasdominated by the perception of a vulvartumor by patients in 90,9%,less frequentlypain, pruritus.Theulcerous-buddingformsrepresent 54.54% of the cases. And multifocal involvement is themost frequent. The vulvar biopsy was performed in 100% of the cases and concluded to a squamouscell carcinoma in 72,72%of the cases. Assessment of extension revealed a second localization inonepatient. Eight of our patients benefited from total vulvectomysurgerywithbilateralinguinallymphnodedissection.Post-surgicalcomplicationsaredominatedbylymphoedemainfection,suturerelease.Radiotherapyand chemotherapyareothertherapeuticmodels.Theprognosisdepends on severalfactors itis all the better as the tumorissmall and theganglia arenot invaded.Earlydiagnosis and the adequate management of precancerouslesionshelps to improvetheprognosis.
doi:10.5281/zenodo.6669563 fatcat:sqxwnigf5jc7feh62cpzowjfom