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Organ-sparing central pelvic compartment resection for the treatment of vulvo-vaginal melanomas.

Published version
Peer-reviewed

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Abstract

Vulvo-vaginal melanomas are one of the rarest gynecological oncology diseases with a poor survival compared with other malignancies. The 5-year survival varies from 13% to 32.3%. Vulvo-vaginal melanomas involving the upper 2/3rds of the vagina are usually treated with total pelvic exenteration (TPE). TPE surgery carries a 50% risk of major complications and also morbidity associated with double stomas. Central pelvic compartment resection is a novel organ-sparing surgical approach entailing radical total laparoscopic hysterectomy, bilateral salpingo-oophrectomy, laparoscopic vaginectomy and vulvectomy to reduce morbidity compared with TPE. Permanent suprapubic catheters are used if there is urethral involvement but require quality of life studies to assess their long-term outcomes.

Description

Acknowledgements: We thank our illustrator, T McGowan, for producing Figures 1 & 2 for this publication.

Keywords

3215 Reproductive Medicine, 32 Biomedical and Clinical Sciences, 6.4 Surgery, 6 Evaluation of treatments and therapeutic interventions

Journal Title

Melanoma Manag

Conference Name

Journal ISSN

2045-0885
2045-0893

Volume Title

10

Publisher

Future Medicine Ltd