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Radical vulvectomy with a bilateral pudendal flap in the treatment of a vulvar cancer relapse.
Clinical Case Reports 2017 Februrary
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, 2, 3, 4, 5.
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