The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review

Locally advanced vulvar cancer (LAVC) is a challenging disease, requiring multidisciplinary management. The aim of this review is to propose an integrated clinical approach including radiotherapy (RT) in the multidisciplinary management of LAVC to customize the treatment. A review of the literature...

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Main Authors: Luca Tagliaferri, Valentina Lancellotta, Calogero Casà, Simona Maria Fragomeni, Martina Ferioli, Stefano Gentileschi, Anna Amelia Caretto, Giacomo Corrado, Benedetta Gui, Giuseppe Ferdinando Colloca, Maria Antonietta Gambacorta, Alessio Giuseppe Morganti, Giorgia Garganese, Gabriella Macchia
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/22/5747
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author Luca Tagliaferri
Valentina Lancellotta
Calogero Casà
Simona Maria Fragomeni
Martina Ferioli
Stefano Gentileschi
Anna Amelia Caretto
Giacomo Corrado
Benedetta Gui
Giuseppe Ferdinando Colloca
Maria Antonietta Gambacorta
Alessio Giuseppe Morganti
Giorgia Garganese
Gabriella Macchia
author_facet Luca Tagliaferri
Valentina Lancellotta
Calogero Casà
Simona Maria Fragomeni
Martina Ferioli
Stefano Gentileschi
Anna Amelia Caretto
Giacomo Corrado
Benedetta Gui
Giuseppe Ferdinando Colloca
Maria Antonietta Gambacorta
Alessio Giuseppe Morganti
Giorgia Garganese
Gabriella Macchia
author_sort Luca Tagliaferri
collection DOAJ
description Locally advanced vulvar cancer (LAVC) is a challenging disease, requiring multidisciplinary management. The aim of this review is to propose an integrated clinical approach including radiotherapy (RT) in the multidisciplinary management of LAVC to customize the treatment. A review of the literature was conducted on PubMed, Scopus, and Cochrane library to acquire all relevant studies on RT in LAVC. Based on the available evidence, RT, with or without concurrent chemotherapy, has a relevant role as adjuvant and exclusive treatment or in the neoadjuvant setting. However, multicentric prospective trials are needed to define the best treatment options based on tumor and patient characteristics. A multidisciplinary and multidimensional assessment can also be useful to identify the most suitable approach, considering patients’ age and comorbidities, in view of a better treatment personalization.
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spelling doaj.art-63c1b85b8f474c42a4d77aaad39cd2b42023-11-22T22:42:43ZengMDPI AGCancers2072-66942021-11-011322574710.3390/cancers13225747The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team ReviewLuca Tagliaferri0Valentina Lancellotta1Calogero Casà2Simona Maria Fragomeni3Martina Ferioli4Stefano Gentileschi5Anna Amelia Caretto6Giacomo Corrado7Benedetta Gui8Giuseppe Ferdinando Colloca9Maria Antonietta Gambacorta10Alessio Giuseppe Morganti11Giorgia Garganese12Gabriella Macchia13Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyRadiation Oncology Center, IRCCS Azienda Ospedaliero Universitaria di Bologna, DIMES, Alma Mater Studiorum—Bologna University, 40138 Bologna, ItalyDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyUniversità Cattolica del Sacro Cuore, 00168 Rome, ItalyDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia—Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyRadiation Oncology Center, IRCCS Azienda Ospedaliero Universitaria di Bologna, DIMES, Alma Mater Studiorum—Bologna University, 40138 Bologna, ItalyGynecology and Breast Care Center, Mater Olbia Hospital, 07026 Olbia, ItalyUnità Operativa di Radioterapia, Ospedale Gemelli Molise, Università Cattolica del Sacro Cuore, 86100 Campobasso, ItalyLocally advanced vulvar cancer (LAVC) is a challenging disease, requiring multidisciplinary management. The aim of this review is to propose an integrated clinical approach including radiotherapy (RT) in the multidisciplinary management of LAVC to customize the treatment. A review of the literature was conducted on PubMed, Scopus, and Cochrane library to acquire all relevant studies on RT in LAVC. Based on the available evidence, RT, with or without concurrent chemotherapy, has a relevant role as adjuvant and exclusive treatment or in the neoadjuvant setting. However, multicentric prospective trials are needed to define the best treatment options based on tumor and patient characteristics. A multidisciplinary and multidimensional assessment can also be useful to identify the most suitable approach, considering patients’ age and comorbidities, in view of a better treatment personalization.https://www.mdpi.com/2072-6694/13/22/5747vulvar cancerradiotherapyreview
spellingShingle Luca Tagliaferri
Valentina Lancellotta
Calogero Casà
Simona Maria Fragomeni
Martina Ferioli
Stefano Gentileschi
Anna Amelia Caretto
Giacomo Corrado
Benedetta Gui
Giuseppe Ferdinando Colloca
Maria Antonietta Gambacorta
Alessio Giuseppe Morganti
Giorgia Garganese
Gabriella Macchia
The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
Cancers
vulvar cancer
radiotherapy
review
title The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
title_full The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
title_fullStr The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
title_full_unstemmed The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
title_short The Radiotherapy Role in the Multidisciplinary Management of Locally Advanced Vulvar Cancer: A Multidisciplinary VulCan Team Review
title_sort radiotherapy role in the multidisciplinary management of locally advanced vulvar cancer a multidisciplinary vulcan team review
topic vulvar cancer
radiotherapy
review
url https://www.mdpi.com/2072-6694/13/22/5747
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