The accepted treatment for cancer and precancerous conditions of the vulva is surgery to remove the affected area, together with a one cm area of healthy tissue. The extent of the surgery depends on the depth of invasion of the tumour, defined as the measurement from the epithelial– stromal junction of the most adjacent superficial dermal papilla to the deepest point of invasion. The most common histological types are squamous carcinomas (85–90%), but adenocarcinoma, melanoma and Bartholin’s gland cancers also occur. The International Federation of Gynaecology and Obstetrics (FIGO) use surgical information to stage the tumour (Table 2). The stage of disease allows insight into the prognosis, for example 65–90% of women with stage 1 disease may expect a five-year survival. The stage identified also assists in deciding any postoperative adjuvant therapy. Although the physical adverse effects following surgery for vulval cancer may readily be described, little is known about the psychological, emotional and social impact. Since cancer of the vulva is rare, there are very few studies compared with research on other groups of cancer patients
The accepted treatment for cancer and precancerous conditions of the vulva is surgery to remove the affected area, together with a one cm area of healthy tissue. The extent of the surgery depends on the depth of invasion of the tumour, defined as the measurement from the epithelial– stromal junction of the most adjacent superficial dermal papilla to the deepest point of invasion. The most common histological types are squamous carcinomas (85–90%), but adenocarcinoma, melanoma and Bartholin’s gland cancers also occur. The International Federation of Gynaecology and Obstetrics (FIGO) use surgical information to stage the tumour (Table 2). The stage of disease allows insight into the prognosis, for example 65–90% of women with stage 1 disease may expect a five-year survival. The stage identified also assists in deciding any postoperative adjuvant therapy. Although the physical adverse effects following surgery for vulval cancer may readily be described, little is known about the psychological, emotional and social impact. Since cancer of the vulva is rare, there are very few studies compared with research on other groups of cancer patients
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