Conservative clitoral preservation surgery in the treatment of vulvar squamous cell carcinoma

Chan, John K.; Sugiyama, Valerie; Tajalli, T. R.; Pham, Huyen Q.; Gu, Mai; Rutgers, Joanne L.; Monk, Bradley J.

doi:10.1016/j.ygyno.2004.07.004

Cited by 12 publications

(4 citation statements)

References 13 publications

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“…As long as adequate safety margins are respected, even the clitoris can be preserved without an oncological risk for the patient. 16,19 However, we were not able to find any correlation between this reduced surgical approach and the long term QoL or sexual function. 20 On the other hand, any excision from the vulva in the case of a carcinoma was associated with an impairment of sexual satisfaction compared to healthy women.…”

Section: Commentmentioning

confidence: 69%

Quality of life and sexual function after surgery in early stage vulvar cancer

Forner

Dakhil²,

Lampe³

2015

European Journal of Surgical Oncology (EJSO)

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Section: Commentmentioning

confidence: 69%

Quality of life and sexual function after surgery in early stage vulvar cancer

Forner

Dakhil²,

Lampe³

2015

European Journal of Surgical Oncology (EJSO)

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“…Some surgical techniques are becoming less aggressive without impact on survival as oncological surgeons consider sexual health concerns: clitoral preservation surgery for vulvar cancer offers selected women decreased morbidity with preservation of sexual function [258]. There are ongoing studies of radical tracelectomy (which preserves fertility) for early cervical disease and subsequent sexual function.…”

Section: Cancer In Womenmentioning

confidence: 99%

Cancer and Sexual Problems

Sadovsky

Basson

Krychman

et al. 2010

The Journal of Sexual Medicine

264

198

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Introduction There are many data on sexual problems subsequent to cancer and its treatment, although the likelihood of problems in specific individuals depends on multiple variables. Aims To gain knowledge about the risks of sexual problems among persons with cancer and to provide recommendations concerning their prevention and optimal treatment. Methods A committee of multidisciplinary specialists was formed as part of a larger International Consultation working with urologic and sexual medicine societies over a 2-year period to review the result of chronic illness management on sexual function and satisfaction. The aims, goals, data collection techniques, and report format were defined by a central committee. Main Outcomes Measures Expert consensus was based on evidence-based medical and psychosocial literature review, extensive group discussion, and an open presentation with a substantial discussion period. Results Cancer and cancer treatments have both direct and indirect effects on physiologic, psychological, and interpersonal factors that can all impact negatively on sexual function and satisfaction. Data on the likelihood of specific sexual problems occurring with cancer and its management vary depending on prediagnosis function, patient response, support from the treatment team, specific treatments used, proactive counseling, and efforts to mitigate potential problems. This summary details available literature concerning the pathophysiologic and psychological impacts of cancer diagnosis and treatment on sexual function, plus recommendations for their prevention and management. Conclusions Cancer and its management have a significant negative impact on sexual function and satisfaction. These negative effects can be somewhat mitigated by understanding prediagnosis sexual functioning level, counseling, careful treatment choices, and, when indicated, therapy post-treatment using educational, psychological, pharmacologic, and mechanical modalities.

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“…Based on available scientific evidence, we assume a pathological tumor-free margin of at least 8 mm after formalin fixation as a standard recommendation [ 43 ]. We have read with great interest the publications by Chan et al [ 43 , 44 ] on resection of primary tumors with macroscopic margins smaller than those historically recommended and encouraging results. We are following the impact that this concept may have, and therefore, about increasingly conservative surgeries.…”

Section: Final Considerationsmentioning

confidence: 99%

Defining the concept of locally advanced squamous cell carcinoma of the vulva: a new perspective based on standardization of criteria and current evidence

Aragona

Soderini

Cúneo³

2014

J Gynecol Oncol

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The phrase "locally advanced carcinoma of the vulva" has often been mentioned in the literature, though not accurately defined, or even leading to the interpretation overlapping. Grounded on cervical cancer experience, we are able to state that designing a tailored primary strategy based on clinically measurable adverse prognostic factors represents the cornerstone of therapy. This fact urged us to rethink about the real usefulness of the concept of locally advanced squamous cell carcinoma of the vulva. We will refer to this concept as a clinical entity emerging from a rigorous workup which is a valuable guiding tool in the context of a thorough debate about the best primary treatment approach to be used. Furthermore, bulky tumors of the vulva have been associated with a worse prognosis on several occasions. Some authors have questioned the fact that tumor size has not been considered in the staging system. Finally, a standardized definition will help us compare the results obtained, which is extremely necessary given the worldwide low prevalence of this disease.

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Conservative clitoral preservation surgery in the treatment of vulvar squamous cell carcinoma

Cited by 12 publications

References 13 publications

Quality of life and sexual function after surgery in early stage vulvar cancer

Quality of life and sexual function after surgery in early stage vulvar cancer

Cancer and Sexual Problems

Defining the concept of locally advanced squamous cell carcinoma of the vulva: a new perspective based on standardization of criteria and current evidence

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