接受手术治疗的外阴癌患者淋巴结状态与肿瘤大小和分级有关

　　Nodal Status in relation to size & grade of the Tumour in patients surgically treated for Vulval Cancer

　　U. Devi¹, U.D. Bafna¹, D. Saraswathi¹, V.R. Pallavi¹, K. Shobha¹, P.S. Rathod¹, A. Narayan¹, B. Aruna¹, C. Ramesh²

　　¹Dept of Gynaec Oncology, ²Dept of Biostatistics & Epidemiology & Population Based Cancer Registry, Kidwai Memorial Institute of Oncology, Bangalore, India

　　Vulval Cancer is a rare Gynaecological Cancer. Surgical Treatment is still the standard therapy for those operable / resectable patients.

　　Objective of the study: To determine the Lymph node status in relation to size & grade of the tumour, to define prognostication & treatment outcome .

　　Material and methods: Between January 2005 & April 2012, the case records revealed 78 patients with Carcinoma Vulva. Of these 78 patients, 55 patients underwent Radical Vulvectomy with Inguinofemoral block dissection. Surgico -pathological staging was determined & nodal status was studied in relation to size, & grade of the tumour. The data was analysed by SPSS chisquare data base.

　　Results: The mean age was 57.54 years ( ranged between 30-85 years). The size ranged between 1.5 cm - 15cms, the size of the tumour perse is not significant (p=0.72), however the high grade (3) & tumour size of more than 4cms increses the chances of nodal involvement with or without Perinodal spread (p=0.03)Majority of the patient had wound dehiscence & groin wound gapping, thus delaying for postoperative adjuvant therapy.

　　Conclusion: The present study indicates that the patients with carcinoma vulva can be treated with Radical wide excision / Radical Vulvectomy for the loco regional control followed by concurrent Radiotherapy / Chemoradiation in all the high risk patients with vulvar cancer, thus the complaints & improvement in survival without much morbidity can be considered with more multicentric study.

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