Laparoscopic Posterior Pelvic Exenteration with Radical Vulvectomy for Intestinal-type Vulvar Adenocarcinoma

Bibliographic Details
Title: Laparoscopic Posterior Pelvic Exenteration with Radical Vulvectomy for Intestinal-type Vulvar Adenocarcinoma
Authors: Takashi Natsume, Mayumi Kobayashi-Kato, Yasuhito Tanase, Masaya Uno, Hiroshi Yoshida, Konosuke Moritani, Yukihide Kanemitsu, Mitsuya Ishikawa
Source: Gynecology and Minimally Invasive Therapy, Vol 13, Iss 2, Pp 126-129 (2024)
Publisher Information: Wolters Kluwer Medknow Publications, 2024.
Publication Year: 2024
Collection: LCC:Gynecology and obstetrics
Subject Terms: hybrid surgery, laparoscopic posterior pelvic exenteration with radical vulvectomy, vulvar adenocarcinoma of intestinal type, Gynecology and obstetrics, RG1-991
More Details: Vulvar intestinal adenocarcinoma is a rare malignancy. The most significant predictor of advanced vulvar cancer is achieving complete resection, although determining the optimal treatment for this rare histologic type remains uncertain. We report the case of a 63-year-old woman with a primary vulvar tumor suspected of having rectal invasion and inguinal lymph node metastases based on preoperative magnetic resonance imaging and computed tomography scans. To achieve complete resection of stage IIIC intestinal-type vulvar adenocarcinoma, we performed a laparoscopic posterior pelvic exenteration (PPE) and radical vulvectomy, along with bilateral inguinal lymph node dissection. This case report highlights the use of a novel hybrid procedure that combines laparoscopic PPE with radical vulvectomy and bilateral inguinal lymph node dissection for vulvar adenocarcinoma of the intestinal type. Laparoscopic PPE can be considered a minimally invasive approach for vulvar tumor when complete resection is achievable with an appropriate safety margin.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2213-3070
Relation: https://journals.lww.com/gmit/fulltext/2024/13020/laparoscopic_posterior_pelvic_exenteration_with.11.aspx; https://doaj.org/toc/2213-3070
DOI: 10.4103/gmit.gmit_103_23
Access URL: https://doaj.org/article/c417c6c15cc447e4905b891443ff2052
Accession Number: edsdoj.417c6c15cc447e4905b891443ff2052
Database: Directory of Open Access Journals
More Details
ISSN:22133070
DOI:10.4103/gmit.gmit_103_23
Published in:Gynecology and Minimally Invasive Therapy
Language:English