[Evaluating the efficiency of combined and radiation treatment of vulvar cancer].

The outcomes of radiation treatment of 70 patients with Stage I-II vulvar cancer are analyzed. Combined treatment was used in 10 patients (3 and 7 patients had Stage I and II, respectively), combined radical radiation therapy was applied in 21 patients (Stage II), split-course gamma-teletherapy was employed in 28 patients (6 and 22 patients with Stages II and III, respectively) and 3 females had short-range X-ray therapy. Palliative radiation therapy was performed in 8 patients with Stage III tumors. Complete clinical tumor resolution was achieved in 16 (57%) patients receiving gamma-teletherapy, 15 (71.4%) and in all three women having short-range X-ray therapy. It is recommended that patients with vulvar cancer should receive split-course radiation, which yields good late treatment results and prevents from significant local radiation reactions and complications. Early diagnosis and timely use of combined treatment provide best treatment results in patients with vulvar cancer and in those with other malignant neoplasms.