Radical vulvectomy with a bilateral pudendal flap in the treatment of a vulvar cancer relapse

摘要

Key Clinical Message One of the main risk factors for relapse in vulvar cancer after lymph-node metastases is free surgical margins. In the case of a relapse, radical vulvectomy with perineal reconstruction is the first choice. Perineal reconstruction is usually indicated in relapse and unusual for a first surgery, except extensive damage [ 1-5 ].