There are treatments for all patients with cancer of the vulva.
Three kinds of treatment are used:
- Surgery (taking out the cancer in an operation)
- Radiation therapy (using high-dose x-rays or other high-energy rays to kill cancer cells)
- Chemotherapy (using drugs to kill cancer cells)
A doctor may use just one method or combine methods to treat the cancer most effectively; however, surgery is the most common treatment of cancer of the vulva.
The standard therapy for cancer localized to the vulva includes radical surgery resection of the primary lesion and inguinal lymphadenectomy. Inadequate local surgical excision results in a high local recurrence rate. Radical excision with bilateral groin node dissection has been the recommended treatment for larger vulvar lesions. When vulvar cancers are diagnosed earlier, smaller localized, less traumatic surgeries with unilateral lymph node dissection can be performed.