WARNING: explicit content

90 Year Old Female, Squamous Cell Carcinoma of the Vulva

In this video we will talk about carcinomas of the vagina and vulva.
We will talk about the symptoms, diagnosis, staging, treatment and prognosis.

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Prof Roberto Orecchia speaks to ecancer at the BGICC 2020 conference in Cairo, Egypt about the use of radiation therapy in vulvar cancer.

He explains the incidence of this cancer and mentions that the reason for the higher incidence seen in these younger patients may be related to the HPV infection.

Prof Orecchia also describes the different approaches to manage and treat this disease.

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Cancer Vulva: Cancer of the Vulva is the least common malignancies affecting the Women.

It typically manifests in the post-menopausal age group of women. It’s more common in women more than age 60. The disease typically manifests as a persistent lesion causing itching over the Vulva along with excessive discharge. On examination, one can use a vulvoscope in order to examine and study the lesions which can lead to cancer of the Vulva. Many elderly women, often ignore these problems, which leads to a delay in the diagnosis of this condition.

The treatment is Surgical Management for Early Stage tumours which are less than 2cm in size. Apart from the size of the lesion, the location of these tumours also plays a very important role in the assessment of operability of this disease. These lesions of the Vulva are often closely situated near the clitoris, vagina, urethra or the anus and a careful assessment with a great insight of reconstruction has to be kept in mind while planning for surgical management. The typical surgical management includes, either a wide local excision or a hemivulvectomy with or without dissection of ipsilateral or bilateral inguino-femoral group of lymph nodes.

In the advanced stage of the disease, Chemoradiation is the primary treatment of choice.

The surgical approach has its own set of complications, especially with wound breakdown and infections, both of which can be notorious and can be very difficult to treat.

This video describes in detail, the treatment for early lesions of Cancer Vulva, with wide local excision.

For more information, watch the full video.
For personal correspondence, one can contact on: contactdrjaymehta@gmail.com

Regards
Dr Jay Mehta
Mumbai

Some years ago vulvar cancer was a cancer of the elder women. But nowadays, with the human papiloma virus infection spreading widely all over the world, vulvar cancer is appearing in younger women.

Want this video and learn the symptoms vulvar cancer can cause. Detecting this cancer as soon as possible is the best way to beat it!

0:00 - Clinical Cases of Vulvar Cancer
1:16 - Vulvar Cancer Symptoms: When the Tumor is Located Only in the Vulva
1:56 - Situation 1: The Woman Starts to Suffer Vulvar Itch
2:33 - Situation 2: The Woman Palpates a Lump in the Genital Area
3:18 - Situation 3: The Woman Discovers a Small Bleeding in her Underwear
4:18 - Situation 4: Woman Suffers from Recurrent Urinary Tract Infections
5:24 - Vulvar Cancer Symptoms: When the Tumor Has Already Escaped from the Vulva
5:54 - Situation 1: The Tumor Has Escaped Through the Lymphatic Vessels
6:55 - Situation 2: The Tumor Has Escaped Through the Blood
7:33 - Vulvar Cancer Metastases: Lungs
8:16 - Vulvar Cancer Metastases: Liver
8:56 - Vulvar Cancer Metastases: Bones
9:52 - Summary