Abstract
This study presents 52 patients with vulvar malignancies, Stages 0 through III, who were treated in the Department of Gynecology and Obstetrics at Wayne State University. The surgical technique of a radical en bloc dissection is described in detail. This technique is recommended for all invasive carcinomas of the vulva, Stages I through III. Individual management was left to one of four surgeons participating in the management. Results are analyzed on the basis of their method of treatment and the results compared. It is obvious from the results of the two-year follow-up of all patients managed for five years only on the gynecologic service at Wayne State University that radical en bloc dissection results in a higher salvage of patients free of disease. Complications of a radical en bloc dissection are reported and the significance of inguinal node metastases correlates with other similar studies of patients.
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