Squamous cell carcinoma of vulva is the most common type of vulval carcinoma. Typically affecting female of 70-75 years of age. Common signs and symptoms include vulval itching and vulval swelling. Clinically vulval examination will reveal growth in vulva and enlarged groin node. USG groin is done to assess small inguinal lymph nodes and MRI Pelvis will help to assess the extent of vulval growth . Optimum treatment includes Radical vulvectomy with sentinel node biopsy of groin. Tumour involving midline will require both groin lymphadenectomy and vulval tumour size of more than 4 cm require systematic inguino femoral lymphadenectomy.
Case Presentation:
A 79 year-old female homemaker from barasat presented with vulval itching and growth involving bilateral labia majora mostly on posterior aspect and near anal opening. It was an ulcerative growth of more than 4 cm in size. Usg groin reveals enlarged left inguinal node.
Management:
Due to her stable general condition she was planned for Radical vulvectomy with bilateral groin dissection. She underwent radical complete vulvectomy with VY advancement flap and bilateral inguinofemoral lymph node dissection. Post operatively she underwent smooth recovery and discharged on 7th day. Subsequently her report confirms Stage III high grade squamous cell carcinoma of vulva and she was started on radiotherapy.
Conclusion:
SCC of vulva is the most common vulval malignancy. Management includes Radical vulvectomy with bilateral groin dissection.
