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Research ArticleClinical Studies

Carcinoma of the Vulva: Clinical Results of Exclusive and Adjuvant Radiotherapy

VINCENZO TOMBOLINI, NICOLA RAFFETTO, MARIO SANTARELLI, MAURIZIO VALERIANI, STEFANO NECOZIONE, FRANCESCO MASEDU and R. MAURIZI ENRICI
Anticancer Research July 2005, 25 (4) 3089-3094;
VINCENZO TOMBOLINI
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  • For correspondence: tmbolini52@ciaoweb.it
NICOLA RAFFETTO
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MARIO SANTARELLI
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MAURIZIO VALERIANI
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STEFANO NECOZIONE
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FRANCESCO MASEDU
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R. MAURIZI ENRICI
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Abstract

Background: The aim of this study was to evaluate the historical cohort of 61 patients with carcinoma of the vulva, treated with radiation therapy from 1986 to 1997. Patients and Methods: Twenty-seven patients were submitted to radiation therapy alone and 34 received radiotherapy post limited surgery in early stages and post radical vulvectomy in advanced stages. The dose range varied from 59 to 63 Gy in post-operative patients and 65 Gy to 71 Gy in curative patients. Results: Five-year Overall Survival (OS) and Disease-Free Survival (DFS) for patients treated with irradiation alone and for those treated with post-operative radiotherapy were 50.8% and 69.7%, respectively, without significant statistical difference. For OS multivariate analysis showed statistical difference for stage and age variables, and for stage variable in the case of DFS. Conclusion: In early stage vulvar cancer patients OS and DFS are good, with high control rate and low incidence of adverse effect. In loco-regionally-advanced patients, especially in those with stage IV or with >2 positive lymph nodes, the outcomes are poor.

  • Vulvar cancer
  • exclusive radiotherapy
  • adjuvant radiotherapy
  • surgery

Footnotes

  • Received December 9, 2004.
  • Revision received May 12, 2005.
  • Accepted May 17, 2005.
  • Copyright© 2005 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved
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Anticancer Research: 25 (4)
Anticancer Research
Vol. 25, Issue 4
1 Jul 2005
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Carcinoma of the Vulva: Clinical Results of Exclusive and Adjuvant Radiotherapy
VINCENZO TOMBOLINI, NICOLA RAFFETTO, MARIO SANTARELLI, MAURIZIO VALERIANI, STEFANO NECOZIONE, FRANCESCO MASEDU, R. MAURIZI ENRICI
Anticancer Research Jul 2005, 25 (4) 3089-3094;

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Carcinoma of the Vulva: Clinical Results of Exclusive and Adjuvant Radiotherapy
VINCENZO TOMBOLINI, NICOLA RAFFETTO, MARIO SANTARELLI, MAURIZIO VALERIANI, STEFANO NECOZIONE, FRANCESCO MASEDU, R. MAURIZI ENRICI
Anticancer Research Jul 2005, 25 (4) 3089-3094;
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