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| Management of vulva cancer in the gynecology obstetric service II of Hassan II UTH: (series of 12 cases and literature review)
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A. Mohamed Cheikh, FZ fdili alaoui , N. Edith Ngalande ,Sofia jayi, My abdelilah melhouf et Hekmat Chaara
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Abstract:
Vulva cancer is a rare neoplastic condition which accounts for 3 to 5% of female genital cancers. This study was done at the University teaching hospital, Gynaecology and Obstetrics II service, Fez between 2019 and 2021 to report the epidemiology, anatomo-clinical, therapeutics aspects, and the prognosis of vulva cancer. We reported 12 cases of vulva cancers. In the light of these cases and the review of the literature, we were able to obtain certain conclusions concerning this cancerous localization and patient management. It was concluded that the condition is typically found in elderly women with the average age of 60years. In our series 61.5% were multiparous, 23.07% were pauciparous and 15.38% were nulliparous All having attained menopause. The reason for consultation is essentially represented by the exaggeration of pruritus (60.3%) and by the perception of vulvar mass (93.2%). The budding and ulcerative-budding forms represent (61.53%) of cases. In 100% of cases the histological type is squamous cell carcinoma. Surgery was the cornerstone of treatment and depended mainly on the stage of the tumour. However, other therapeutic options remained available such as radiotherapy and chemotherapy. Skin grafts were performed in 5 cases. The prognosis depended on several factors, Cultural and social characteristics of patients in Morocco led to late diagnoses which influenced treatment outcomes with better outcomes when the tumour was small and the lymph nodes were not invaded. At the end of this study, we emphasize on the different methods of patient management, the seriousness of vulva cancer and the importance of early diagnosis of precancerous lesions that can improve the prognosis.
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