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 imrpress.com as a courtesy and upon agreement with S.O.G.
Diagnostic and therapeutic dilemmas in vulvar cancer
Invasive vulvar cancer is rare. The etiology of vulvar cancer is incompletely understood. Human papilloma virus is known to be the major causal factor. The keystep in the diagnosis is punch biopsy with attention to unifocal or multifocal lesions and involvement of adjacent regions. The therapeutic procedure is based mostly on histomorphologic parameters e.g. unifocal/multifocal lesion, localisation, tumor typing/grading, depth of invasion; the goal of these morphologic and morphometric parameters is to reduce radicality in order to avoid postoperative morbidity without jeopardising the chances of cure. This individualization considers treatment options in both the vulvar and the groin.