ABSTRACT
Vulva anatomy - FIGO classification- Vulva tumors anatomopathology - Treatments of vulva cancers. Our study is a retrospective, longitudinal and continuous one. It concerns 11 malignant vulva tumors which were treated in the dpartement "C" of the centre of maternity of Tunis. The period of study is fifty four months [2002-2006]. The aim of our study is to analyse the characteristics of the vulva cancer and to compare our results to litterature. Mean age of our patients is 67 years old. They are all menaused. The principal signs are vulva tumfaction in 72,7% of the cases, vulva pruritis in 27,3% of the cases and genital bleeding in 27,3% of the cases. The mean period of consultation is of 14 months. We have ten cases of vulvar epidermoid carcinoma and one melanoma. The treatment was surgical in the eleven cases [10 total vulvectomy and one hemivulvectomy] They all benefited of an inguinal bilateral curage. The adjuvant radiothrapie was indicated in 3 cases. A patient was classed stage lb of FIGO, 7 stage II, one stage III and one stage IVA. Nine patients are in remission, 3 are dead: 2 because of their cancer and one due to a pulmonar embolism. The survival of 6 month is 72, 2%.The prevention of this cancer passes by the close follow of dystrophic states and viral pathologies of the vulva