TREATMENT OF ADVANCED STAGES OF VULVAR CARCINOMA - CASE REPORT

Carcinoma of the vulva is at the fourth place by its incidence out of all malignant diseases of female genital organs. It is considered that it represents 3% to 5% of all genital malignancies. Although it appears most commonly between 65 and 75 years of age, the incidence of vulvar carcinoma in younger age groups has been on the constant increase. The reported patient with a previous history of HPV infection was presented with carcinoma of the vulva before the age of 50, which gave metastases into inguinofemoral lymph glands. In spite of the administered radical hysterectomy associated with bilateral lymphadenectomy and the subsequent radiation therapy, the patient developed local and regional recurrences 19 months following the surgery, with the final systemic spread of the disease. The treatment of advanced stages of carcinoma of the vulva, in spite of the administration of combined radical procedures (operation, irradiation), does not give adequate results - the cure. Therefore, our aim is to alleviate and prolong the life span of these patients as much as possible.