Vulvar Cancer Treatment
Cancer treatment is established based on each case; there is no unique therapy waiting for every patient. Every patient with cancer is a special case and requires appropriate treatment and management. Choosing atherapy or combination of therapies depends on several factors such as the type of cancer, its degree of spread, presence of other diseases or not, age and general health status of the person.
Although vulvar cancer treatment may include chemotherapy and radiation therapy, surgery is often the desired choice by most health professionals. In advanced cancer, surgical therapy can be total vulvectomy, complete removal all or part of the vulva; along with lymphadenectomy, removal of the lymph nodes.
In stage I and stage II, surgery can be lymphadenectomy and limited to only the affected side, provided that the tumor affects one side and examination of the lymph nodes has been negative for cancer presence, without radical surgery. Lymphadenectomy is mandatory in almost all cases.
Total vulvectomy is a relatively heavy procedure performed mostly in older patients or to treat advanced malignant tumors of the vulva. Plastic reconstruction of the vulva, using skin flapstransferred from the skin and muscle of the abdomen or femoris, is required after the surgical removal.
However, sometimes surgery is not possible; in this case transcutaneous radiotherapy and brachytherapy are practiced. But radiation to the perineum and groin it is necessary only when the patient has a condition that contraindicates the surgery, being an elderly for instance. This is performed to prolong the life of the patient. Chemotherapy associated with radiotherapy or surgery, is not really helpful therapeutically.
Vulvar Cancer Prevention
Vulvar cancer prevention involves good local hygiene, regular gynecological examination even after menopause, and immediate removal of any suspicious lesion. Early detection of suspected abnormalities during routine exam (or due to complaints of the patient) can require biopsy to confirm or rule out the presence of the cancer in the vulva. This not only remove any doubt from the patient but it also helps reduce the incidence of severe forms (too often encountered today) or complications of the disease.
Another vulva cancer prevention mean is to treat HPV infection as recommended. The ideal choice is to prevent the infection in the first place.