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.
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