[Operative treatment of vulvar cancer].

The study reported in this paper was concerned with the problems and results of surgical treatment of invasive vulval carcinoma. Surgery was performed on 228 patients, 101 of them (44.2%) with Stage III and Stage IV carcinoma. In 156 women radical vulvectomy was combined with pelvic and inguinal lymphadenectomy. Lymph node metastases were found postoperatively in 110 patients (48%). Thirty-six patients (32.7%) had lymph node metastases in the small pelvis. The operation coefficient was 82%; postoperative morbidity was 21.4%, postoperative mortality 0.4%. Among the 228 patients operated on the 5-year survival rate was 59.2% (135 patients), and the three-year survival rate 71% (163 patients).