ABSTRACT

The most common histology o f vulvar cancer is squamous representing approxi­ mately 90% o f cases. Other less common histological subtypes include adenocarcinoma, melanoma, basal cell and sarcoma. Vulvar dysplasia which is often multifocal is easily curable with local resection, laser or even cryotherapy. Early invasive vulvar cancer has an excellent prognosis, even though the treatments can have significant associated morbidity. Surgery, chemotherapy and radiation are all treatments for vulvar cancer, but they can lead to significant disfigurement and psychological as well a sexual morbidity. Decreasing this morbidity relies on early detection and adequate surveillance by provid­ ers. Recendy, therapeutic trends have moved toward more conservative approaches.