Page 9 - Vulvar Cancer Guidelines Summary fxd
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TREATMENT OF RECURRENT DISEASE
Treatment of vulvar recurrence
✓ Radical local excision is recommended.
✓ For vulvar recurrence with a depth of invasion > 1 mm and previous sentinel lymph node
removal only, inguinofemoral lymphadenectomy should be performed.
✓ The indications for postoperative radiotherapy are comparable to those for the treatment of
primary disease.
Treatment of groin recurrence
✓ Restaging by CT (or PET-CT) of the thorax/abdomen/pelvis is recommended.
✓ Preferred treatment is radical excision when possible, followed by postoperative radiation in
radiotherapy naïve patients.
✓ Based on evidence from other squamous cell cancers, such as cervical and anal cancer, the
addition of radiosensitising chemotherapy to postoperative radiotherapy should be considered.
✓ Definitive chemoradiation when surgical treatment is not possible.
Treatment of distant metastases
✓ Definitive chemoradiation when surgical treatment is not possible.
• VULVAR CANCER - GUIDELINES • 7
