| Popis: |
Vaginal and vulva carcinomas are uncommon gynecologic neoplasms. This chapter provides a synopsis of the available data on the epidemiology, diagnosis, staging, pathology, treatment, and prognosis of vaginal and vulvar cancers from the literature. Effective treatment for these malignancies requires utilization of multiple therapeutic modalities including radical surgery, radiation and chemotherapy. An overview of the management options as well as the evidence that has shaped contemporary practice is presented here. Due to the rarity of these diseases, optimal care requires access to specialty trained surgeons and multidisciplinary specialists whenever possible. Patients should be referred to tertiary centers to gain access to any open clinical trials and practitioners with the most experience in the specialized techniques used to effectively treat vulvar and vaginal cancers. This chapter also includes a brief summary of the management of preinvasive lesions of the vulva and vagina. |
