Along with ovarian cancer debulking and radical hysterectomy, pelvic and paraaortic lymph node dissections are procedures that define gynecologic oncology. Complete pelvic and paraaortic lymphadenectomies (open and transperitoneal) for staging in early-stage cervical cancer are similar in approach to procedures…
The standard treatment for women with early-stage cervical cancer (stages IA2–IB1) remains radical hysterectomy with pelvic lymphadenectomy. In select patients interested in future fertility, radical trachelectomy with pelvic lymphadenectomy is also considered a viable option. Data from retrospective studies have…
In the past 100 years, the surgical approach to vulvar cancer has evolved from one of gynecologic oncology’s most morbid procedures to one of its least. The original approach included the radical en bloc resection of the vulva, groins, and…
Introduction The overwhelming majority of cervical cancer cases will be either squamous cell or adenocarcinoma. In a National Cancer Database (NCDB) study of cervical cancer in the United States, 79.5% of cervical cancer cases consisted of the squamous cell subtype,…
Clinical case A 32-year-old G0 female presents with a newly diagnosed small cell neuroendocrine carcinoma (NEC) of the cervix. On physical exam, she is noted to have a 1.5 cm lesion on the anterior lip of the cervix with no…
Key points VULVAR PREMALIGNANT AND MALIGNANT DISEASE Squamous cell carcinomas constitute 90% of primary vulvar malignancies. More than 80% of patients are older than 50 years at the time of diagnosis. Cancer of the vulva accounts for approximately 4% of…