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British Journal of Radiology (1989) 62, 145-147
© 1989 British Institute of Radiology
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The British Journal of Radiology, Vol 62, Issue 734 145-147, Copyright © 1989 by British Institute of Radiology

ARTICLES

Radical radiotherapy for carcinoma of the vulva

NJ Slevin and RC Pointon
Department of Radiotherapy and Oncology, Christie Hospital, Withington, Manchester.

A study was made of 58 patients with carcinoma of the vulva treated by radical radiotherapy between 1965 and 1982. The choice of treatment technique was influenced by site and extent of disease as well as the general condition of the patient. The crude 5-year survival was 26% (15/58). Local control was achieved in 40% of cases and was associated with tumour size of 4 cm or less. Radionecrosis occurred in nine cases but none of these required surgical intervention. Surgery remains the treatment of choice for carcinoma of the vulva. This report emphasizes that radical radiotherapy has a curative potential in those cases considered unsuitable for surgery and that the necrosis type and rate are within the limits of acceptable morbidity.




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