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EP1176 Treatment of early stage vulvar carcinoma in a pregnant woman: a case report
  1. F Metke1,
  2. E Bösken2,
  3. M Pixberg3,
  4. A Bräuer3,
  5. P Kies3,
  6. L Kiesel1,
  7. R Lellé1 and
  8. R Witteler1
  1. 1Department of Obstretics and Gynecology, University Hospital Münster, Münster
  2. 2Private Practice, Soest
  3. 3Department of Nuclear Medicine, University Hospital Münster, Münster, Germany


Introduction/Background The incidence of invasive squamous cell carcinoma of the vulva is increasing in young women in the last decades. Early stages T1b are treated by partial or total vulvectomy and inguinal lymphadenectomy, which has a high morbidity rate due to seromas. Occurrence during pregnancy greatly increases the complexity of the surgical management. Only few cases have been reported.

Methodology Case report.

Results A 39 year old pregnant woman presented at our clinic with newly diagnosed early stage squamous cell carcinoma of the vulva, stage T1b, at 32 weeks of gestation. Surgery was performed at 34 weeks of gestation. In order to minimize morbidities associated with inguinal lymphadenectomy we performed bilateral sentinel lymph node dissection. Risk and dosage were calculated and the patient was counseled accordingly. After delivery of a healthy child the patient received successful reexcision due to insufficient resection margins of the first operation. Now after 6 months she has had no recurrence of the disease.

Conclusion Sentinel lymph node dissection is a viable option for treatment of stage T1b vulvar carcinoma even during pregnancy and could be considered when postponing the treatment until after delivery imposes too great a risks for the patient.

Disclosure Nothing to disclose

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