Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature

B. U. Sevin, B. Abendstein, W. A. Oldenburg, M. O'Connor, J. Waldorf, J. P. Klingler, M. J. Knudsen

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of the femoral artery, blood supply to the leg was restored by an extra-anatomic axillopopliteal bypass. A myocutaneous flap from the contralateral rectus abdominis was used for primary wound closure. Limb salvage was achieved and the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed.

Original languageEnglish (US)
Pages (from-to)32-38
Number of pages7
JournalInternational Journal of Gynecological Cancer
Volume11
Issue number1
DOIs
StatePublished - 2001

Fingerprint

Groin
Extremities
Recurrence
Hemipelvectomy
Pubic Bone
Vulvar Neoplasms
Rectus Abdominis
Limb Salvage
Myocutaneous Flap
Femoral Artery
Gait
Leg
Radiotherapy
Carcinoma
Pain
Muscles
Wounds and Injuries
Margins of Excision
Therapeutics

Keywords

  • Axillopopliteal artery bypass
  • Groin recurrence
  • Limb sparing surgery
  • Myocutaneous flap
  • Squamous cell carcinoma of vulva

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology
  • Cancer Research

Cite this

Sevin, B. U., Abendstein, B., Oldenburg, W. A., O'Connor, M., Waldorf, J., Klingler, J. P., & Knudsen, M. J. (2001). Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature. International Journal of Gynecological Cancer, 11(1), 32-38. https://doi.org/10.1046/j.1525-1438.2001.011001032.x

Limb sparing surgery for vulvar groin recurrence : A case report and review of the literature. / Sevin, B. U.; Abendstein, B.; Oldenburg, W. A.; O'Connor, M.; Waldorf, J.; Klingler, J. P.; Knudsen, M. J.

In: International Journal of Gynecological Cancer, Vol. 11, No. 1, 2001, p. 32-38.

Research output: Contribution to journalArticle

Sevin, BU, Abendstein, B, Oldenburg, WA, O'Connor, M, Waldorf, J, Klingler, JP & Knudsen, MJ 2001, 'Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature', International Journal of Gynecological Cancer, vol. 11, no. 1, pp. 32-38. https://doi.org/10.1046/j.1525-1438.2001.011001032.x
Sevin, B. U. ; Abendstein, B. ; Oldenburg, W. A. ; O'Connor, M. ; Waldorf, J. ; Klingler, J. P. ; Knudsen, M. J. / Limb sparing surgery for vulvar groin recurrence : A case report and review of the literature. In: International Journal of Gynecological Cancer. 2001 ; Vol. 11, No. 1. pp. 32-38.
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