Carcinoma Vulva (Five Years Analysis)

ABSTRACT

A 5 years study (1989-1993) of cases of Carcinoma vulva admitted to Central Women's Hospital was carried out to find (a) the clinico-epidemiologic features and (b) the association between clinical staging (FIGO) with the histological evidence of lymph node involvement. Objective (a) was achieved with preformed questionnaire and Objective (b) from clinical and pathological assessments. Out of 32 cases of Ca vulva, the modal age group on the study was 50 to 59 years and modal parity 7. Seven cases had medical disease and one had prior history of carcinoma cervix. The presenting features were growth or ulcer, pruritis vulva, leukoplakia, white discharge. Two cases were recurrent growths. According to FIGO staging, 3 belonged to stage (2), 21 to stage (3) and 8 to stage (4). There were no nodal desease in stage (2) cases. Stage (3) cases had 4.76 percent superficial nodal disease and no deep nodal disease. Stage (4) had 75 percent superficial and 25 percent deep nodal disease in 100 percent cases. Regarding histological spread in cases with palpable nodes, the positive predictive values were 25.9 percent with superficial inguinal enlargement, 40 percent with gland of Cloquet enlargement and O with external iliac node enlargement.