The Impact of Plastic Reconstructive Surgery in Management of Vulvar Carcinoma: A Review

Introduction: Vulvar cancer represents a malignant, invasive growth in the vulva, or the outer portion of the female genitals, that typically affects older women. It comprises 5% of all female genital cancers and 1% of all female malignancies.Introduction Vulvar cancer represents a rare type of gynecologic malignancy. The onset of the lesion occurs in form of precancerous cells on the vulva skin. This specific lesion type is commonly presented as vulvar intraepithelial neoplasia (VIN) [1]. From histopathological point of view, classical examples are squamous cell carcinoma and intraepithelial vulvar neoplasia. Other less frequent histological types included adenocarcinomas, melanomas and carcinomas of the Bartholin glands. The incidence of vulvar cancer is highest between 65 to 70-year age group; however, women over 70 years of age are commonly affected. The goal of surgical therapy remains radical vulvectomy with bilateral inguinal lymphadenectomy or radical local excision followed in both cases by plastic reconstruction. Keywords: Vulvar Carcinoma; Plastic Reconstruction; Flaps Vulvar cancer is distinguished from vulvar intraepithelial neoplasia (VIN), a superficial lesion of the epithelium that has not invaded the basement membrane. VIN has the tendency to carcinoma-in-situ and, eventually, squamous cell cancer Method: Assiduous effort concerning all new scientific information of electronic data bases such as PubMed and Cochrane data base. Objective: The aim of the study reflects the presentation and implementation of the therapeutic mapping in cases of plastic reconstructive surgery of vulvar carcinoma. Conclusion: The present review deals with the impact of plastic reconstructive surgery in the management of vulvar carcinoma.