IMR Press / EJGO / Volume 22 / Issue 1 / pii/2001108

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Does long-term follow-up have a role for node negative squamous carcinoma of the vulva? The Gateshead experience

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1 Northern Gynaecological Oncology Centre, Queen Elizabeth Ho,1pital, Sheriff Hill, Gateshead, UK
Eur. J. Gynaecol. Oncol. 2001, 22(1), 36–39;
Published: 10 February 2001

A retrospective review was performed of 138 cases of squamous vulva! cancer referred to Gateshead between 1986 and 1997, with a median follow-up of 48 months. Eighteen recurrences were detected, 11 within one year of surgery. All nine patients with groin/distant recurrence (including 4 presenting initially with local recurrence only) died of vulval cancer. Vulval pain [9], bleeding [3] or other symptoms heralded all recurrences. Routine review was ineffective in detecting recurrence. Eight cases were detected by general practitioners, three by specialists, and one was self-diagnosed. Six of these had had clinical review less than two months previously. Follow-up does not appear to offer early detection or survival advantages. Patient education, with symptom-triggered rapid clinic access, may be more effective. Prospective research is indicated to assess both the effectiveness and psychological impli­cations of routine follow-up and alternative strategies.

Vulval cancer
Negative lymph nodes
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