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To determine the safety and efficacy of clitoral -sparing surgery in women with squamous cell carcinoma (SCCA)of the anterior vulva not involving the clitoris.Patients with vulvar SCCA diagnosed between 1984a nd 2000were i-dentified and data collected.In thi s descriptive analysis,women treated with complete radical vulvectomy were compared to those treated with clito ral -sparing modified radical vulvectomy.All slides were re -reviewed.Of the41women with vulvar carcinoma,13had clitoral -spar-ingmodified vulvectomies(group A)while the remaining 28underwent complete radical vulvectomies(group B ).The13patients in group A included,8with stage I,2stage II,2stage III,and 1with stage IV disease.The two groups had similar demographic and patholo gic prognostic factors.After a median follow -up of 59months,no patients in group A had loco -regional failure.C litoral -sparing vul-var cancer surgery does not compromi se the rate of loco -regional control in patients and may be offered to selected women.
To determine the safety and efficacy of clitoral-sparing surgery in women with squamous cell carcinoma (SCCA) of the anterior vulva not involving the clitoris. Patients with vulvar SCCA diagnosed between 1984a nd 2000were i-dentified and data collected. In thi s descriptive analysis , women treated with complete radical vulvectomy were compared to those treated with clito ral -sparing modified radical vulvectomy. All slides were re -reviewed. Of the 41 women with vulvar carcinoma, 13 had clitoral -spar-ing modified vulvectomies (group A) while the remaining 28 underwent complete radical vulvectomies (group B) .The 13patients in group A included, 8withstage I, 2stage II, 2stage III, and 1with stage IV disease.The two groups were similar demographic and patholo gic prognostic factors. After a median follow -up of 59months, no patients in group A had loco -regional failure. C litoral-sparing vul-var cancer surgery does not compromise the rate of loco -regional control in patients and may be offered to selecte d women.