The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study

(1) Background: Surgical-oncological treatment methods are continuously put to the test in times of evidence-based medicine—notably, a constant reevaluation remains key, especially for tumor entities with increasing incidence such as vulvar carcinoma. (2) Methods: In order to determine the postopera...

Full description

Bibliographic Details
Main Authors: Peter Jankowski, Sebastian Findeklee, Mihai-Teodor Georgescu, Romina Marina Sima, Meletios P. Nigdelis, Erich-Franz Solomayer, Gilbert Georg Klamminger, Bashar Haj Hamoud
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/10/1973
_version_ 1827720600137760768
author Peter Jankowski
Sebastian Findeklee
Mihai-Teodor Georgescu
Romina Marina Sima
Meletios P. Nigdelis
Erich-Franz Solomayer
Gilbert Georg Klamminger
Bashar Haj Hamoud
author_facet Peter Jankowski
Sebastian Findeklee
Mihai-Teodor Georgescu
Romina Marina Sima
Meletios P. Nigdelis
Erich-Franz Solomayer
Gilbert Georg Klamminger
Bashar Haj Hamoud
author_sort Peter Jankowski
collection DOAJ
description (1) Background: Surgical-oncological treatment methods are continuously put to the test in times of evidence-based medicine—notably, a constant reevaluation remains key, especially for tumor entities with increasing incidence such as vulvar carcinoma. (2) Methods: In order to determine the postoperative clinical course of different methods of vulvar excision (vulvectomy, hemivulvectomy) as well as inguinal lymph node removal (lymphadenectomy, sentinel lymph node biopsy) with regard to postoperative wound-healingprocess, perioperative hemorrhage, and re-resection rates, we retrospectively analyzed surgical, morphological and laboratory data of 76 patients with a pathological diagnosed vulvar cancer. (3) Results: Analysis of our data from a single center revealed a comparable perioperative clinical course regardless of the chosen method of vulvar excision and inguinal lymph node removal. (4) Conclusions: Thus, our results emphasize the current multimodality in surgical therapy of vulvar carcinoma, in which consideration of known prognostic factors together with the individual patient’s clinical situation allow guideline-based therapy aimed at maximizing surgical safety.
first_indexed 2024-03-10T21:06:46Z
format Article
id doaj.art-4a7d55fd6ed744059b1796ac0d8abe47
institution Directory Open Access Journal
issn 2075-1729
language English
last_indexed 2024-03-10T21:06:46Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Life
spelling doaj.art-4a7d55fd6ed744059b1796ac0d8abe472023-11-19T17:05:37ZengMDPI AGLife2075-17292023-09-011310197310.3390/life13101973The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric StudyPeter Jankowski0Sebastian Findeklee1Mihai-Teodor Georgescu2Romina Marina Sima3Meletios P. Nigdelis4Erich-Franz Solomayer5Gilbert Georg Klamminger6Bashar Haj Hamoud7Department for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, GermanyDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, GermanyDepartment of Oncology, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, GermanyDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, GermanyDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, GermanyDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66421 Homburg, Germany(1) Background: Surgical-oncological treatment methods are continuously put to the test in times of evidence-based medicine—notably, a constant reevaluation remains key, especially for tumor entities with increasing incidence such as vulvar carcinoma. (2) Methods: In order to determine the postoperative clinical course of different methods of vulvar excision (vulvectomy, hemivulvectomy) as well as inguinal lymph node removal (lymphadenectomy, sentinel lymph node biopsy) with regard to postoperative wound-healingprocess, perioperative hemorrhage, and re-resection rates, we retrospectively analyzed surgical, morphological and laboratory data of 76 patients with a pathological diagnosed vulvar cancer. (3) Results: Analysis of our data from a single center revealed a comparable perioperative clinical course regardless of the chosen method of vulvar excision and inguinal lymph node removal. (4) Conclusions: Thus, our results emphasize the current multimodality in surgical therapy of vulvar carcinoma, in which consideration of known prognostic factors together with the individual patient’s clinical situation allow guideline-based therapy aimed at maximizing surgical safety.https://www.mdpi.com/2075-1729/13/10/1973vulvar cancersurgical oncologyvulvectomyhemi-vulvectomyhemivulvectomylymphadenectomy
spellingShingle Peter Jankowski
Sebastian Findeklee
Mihai-Teodor Georgescu
Romina Marina Sima
Meletios P. Nigdelis
Erich-Franz Solomayer
Gilbert Georg Klamminger
Bashar Haj Hamoud
The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
Life
vulvar cancer
surgical oncology
vulvectomy
hemi-vulvectomy
hemivulvectomy
lymphadenectomy
title The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
title_full The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
title_fullStr The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
title_full_unstemmed The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
title_short The Therapy of Vulvar Carcinoma—Evaluation of Surgical Options in a Retrospective Monocentric Study
title_sort therapy of vulvar carcinoma evaluation of surgical options in a retrospective monocentric study
topic vulvar cancer
surgical oncology
vulvectomy
hemi-vulvectomy
hemivulvectomy
lymphadenectomy
url https://www.mdpi.com/2075-1729/13/10/1973
work_keys_str_mv AT peterjankowski thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT sebastianfindeklee thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT mihaiteodorgeorgescu thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT rominamarinasima thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT meletiospnigdelis thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT erichfranzsolomayer thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT gilbertgeorgklamminger thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT basharhajhamoud thetherapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT peterjankowski therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT sebastianfindeklee therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT mihaiteodorgeorgescu therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT rominamarinasima therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT meletiospnigdelis therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT erichfranzsolomayer therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT gilbertgeorgklamminger therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy
AT basharhajhamoud therapyofvulvarcarcinomaevaluationofsurgicaloptionsinaretrospectivemonocentricstudy