RT Journal Article
SR Electronic
T1 Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 32
OP 38
DO 10.1136/ijgc-00009577-200101000-00005
VO 11
IS 1
A1 B.-U. Sevin
A1 B. Abendstein
A1 W. A. Oldenburg
A1 M. O'Connor
A1 J. Waldorf
A1 J. P. Klingler
A1 M. J. Knudsen
YR 2001
UL http://ijgc.bmj.com/content/11/1/32.abstract
AB Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of the femoral artery, blood supply to the leg was restored by an extra-anatomic axillopopliteal bypass. A myocutaneous flap from the contralateral rectus abdominis was used for primary wound closure. Limb salvage was achieved and the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed.