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Vulval cancer, 1992-2002 audit--multidisciplinary care and prognostic factors
Vulval carcinoma is becoming increasingly common. Thirty-four cases of vulval carcinoma were treated from 01/01/1992-31/12/2002. The mean age was 67, range (18-90). The presenting complaints were "a lump" (76%)(25/33), "itch" (49%)(16/33), "discomfort" (30%)(10/33) and...
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| Published in: | Irish medical journal 2006-09, Vol.99 (8), p.234-236 |
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| container_end_page | 236 |
| container_issue | 8 |
| container_start_page | 234 |
| container_title | Irish medical journal |
| container_volume | 99 |
| creator | Mc Millan, H M Martin, F Walsh, T A Boyd, W D Coughlan, B M |
| description | Vulval carcinoma is becoming increasingly common. Thirty-four cases of vulval carcinoma were treated from 01/01/1992-31/12/2002. The mean age was 67, range (18-90). The presenting complaints were "a lump" (76%)(25/33), "itch" (49%)(16/33), "discomfort" (30%)(10/33) and postmenopausal bleeding (21%)(7/33). Most patients presented with stage 1 or 2 disease (73%) (n = 24/33). The majority (97%) (32/33) underwent surgical treatment. Five-year survival was 61% (17/28), (disease-free survival 76% (13/17)). There were 12 cases of local/regional recurrence. Survival rates deteriorated with stage of disease. Lymph-node results, lowered survival from 79% (11/14), if negative, to 17% (1/6) if positive. Age >70 reduced survival from 69% (11/16) to 50% (6/12). We conclude that age, the stage of disease, and lymph-node status were important prognostic factors. The favourable outcomes reflect muItidisciplinary care--combining clinical examinations with regular home contact with specialist nurses, by telephone. |
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Thirty-four cases of vulval carcinoma were treated from 01/01/1992-31/12/2002. The mean age was 67, range (18-90). The presenting complaints were "a lump" (76%)(25/33), "itch" (49%)(16/33), "discomfort" (30%)(10/33) and postmenopausal bleeding (21%)(7/33). Most patients presented with stage 1 or 2 disease (73%) (n = 24/33). The majority (97%) (32/33) underwent surgical treatment. Five-year survival was 61% (17/28), (disease-free survival 76% (13/17)). There were 12 cases of local/regional recurrence. Survival rates deteriorated with stage of disease. Lymph-node results, lowered survival from 79% (11/14), if negative, to 17% (1/6) if positive. Age >70 reduced survival from 69% (11/16) to 50% (6/12). We conclude that age, the stage of disease, and lymph-node status were important prognostic factors. The favourable outcomes reflect muItidisciplinary care--combining clinical examinations with regular home contact with specialist nurses, by telephone.</description><identifier>ISSN: 0332-3102</identifier><identifier>PMID: 17120605</identifier><language>eng</language><publisher>Ireland</publisher><subject>Adolescent ; Adult ; Aged ; Disease-Free Survival ; Female ; Humans ; Ireland - epidemiology ; Lymphatic Metastasis ; Middle Aged ; Neoplasm Staging ; Outcome and Process Assessment (Health Care) ; Patient Care Team ; Prognosis ; Time Factors ; Vulvar Neoplasms - epidemiology ; Vulvar Neoplasms - mortality ; Vulvar Neoplasms - pathology ; Vulvar Neoplasms - therapy</subject><ispartof>Irish medical journal, 2006-09, Vol.99 (8), p.234-236</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17120605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mc Millan, H M</creatorcontrib><creatorcontrib>Martin, F</creatorcontrib><creatorcontrib>Walsh, T A</creatorcontrib><creatorcontrib>Boyd, W D</creatorcontrib><creatorcontrib>Coughlan, B M</creatorcontrib><title>Vulval cancer, 1992-2002 audit--multidisciplinary care and prognostic factors</title><title>Irish medical journal</title><addtitle>Ir Med J</addtitle><description>Vulval carcinoma is becoming increasingly common. Thirty-four cases of vulval carcinoma were treated from 01/01/1992-31/12/2002. The mean age was 67, range (18-90). The presenting complaints were "a lump" (76%)(25/33), "itch" (49%)(16/33), "discomfort" (30%)(10/33) and postmenopausal bleeding (21%)(7/33). Most patients presented with stage 1 or 2 disease (73%) (n = 24/33). The majority (97%) (32/33) underwent surgical treatment. Five-year survival was 61% (17/28), (disease-free survival 76% (13/17)). There were 12 cases of local/regional recurrence. Survival rates deteriorated with stage of disease. Lymph-node results, lowered survival from 79% (11/14), if negative, to 17% (1/6) if positive. Age >70 reduced survival from 69% (11/16) to 50% (6/12). We conclude that age, the stage of disease, and lymph-node status were important prognostic factors. The favourable outcomes reflect muItidisciplinary care--combining clinical examinations with regular home contact with specialist nurses, by telephone.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Ireland - epidemiology</subject><subject>Lymphatic Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patient Care Team</subject><subject>Prognosis</subject><subject>Time Factors</subject><subject>Vulvar Neoplasms - epidemiology</subject><subject>Vulvar Neoplasms - mortality</subject><subject>Vulvar Neoplasms - pathology</subject><subject>Vulvar Neoplasms - therapy</subject><issn>0332-3102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNo1kEtLxDAUhbNQnHH0L0hWrgwkN23SLmXwBSNu1G25TVKJpA_zEPz3FhxXZ_Nx-M45IVsuJTApOGzIeUqfnEuQGs7IRmgBXPF6S57fS_jGQA1OxsUbKtoWGHAOFIv1mbGxhOytT8YvwU8Yf1Y0OoqTpUucP6Y5ZW_ogCbPMV2Q0wFDcpfH3JG3-7vX_SM7vDw87W8PbBFQZYa1A9CiUoZLZYRTBjhYsCgHWQvVgzSiqXpwLfbGmrrVSgvFndF9pVA4uSPXf72rwldxKXfjauhCwMnNJXWqEaqpK7mCV0ew9KOz3RL9uG7o_g-Qv_57VKk</recordid><startdate>200609</startdate><enddate>200609</enddate><creator>Mc Millan, H M</creator><creator>Martin, F</creator><creator>Walsh, T A</creator><creator>Boyd, W D</creator><creator>Coughlan, B M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200609</creationdate><title>Vulval cancer, 1992-2002 audit--multidisciplinary care and prognostic factors</title><author>Mc Millan, H M ; Martin, F ; Walsh, T A ; Boyd, W D ; Coughlan, B M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p124t-a5e227146c036c1e6c202d2da3f3516b23c184b2e9abcdc59767160ec7b46a1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Ireland - epidemiology</topic><topic>Lymphatic Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Patient Care Team</topic><topic>Prognosis</topic><topic>Time Factors</topic><topic>Vulvar Neoplasms - epidemiology</topic><topic>Vulvar Neoplasms - mortality</topic><topic>Vulvar Neoplasms - pathology</topic><topic>Vulvar Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mc Millan, H M</creatorcontrib><creatorcontrib>Martin, F</creatorcontrib><creatorcontrib>Walsh, T A</creatorcontrib><creatorcontrib>Boyd, W D</creatorcontrib><creatorcontrib>Coughlan, B M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Irish medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mc Millan, H M</au><au>Martin, F</au><au>Walsh, T A</au><au>Boyd, W D</au><au>Coughlan, B M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vulval cancer, 1992-2002 audit--multidisciplinary care and prognostic factors</atitle><jtitle>Irish medical journal</jtitle><addtitle>Ir Med J</addtitle><date>2006-09</date><risdate>2006</risdate><volume>99</volume><issue>8</issue><spage>234</spage><epage>236</epage><pages>234-236</pages><issn>0332-3102</issn><abstract>Vulval carcinoma is becoming increasingly common. Thirty-four cases of vulval carcinoma were treated from 01/01/1992-31/12/2002. The mean age was 67, range (18-90). The presenting complaints were "a lump" (76%)(25/33), "itch" (49%)(16/33), "discomfort" (30%)(10/33) and postmenopausal bleeding (21%)(7/33). Most patients presented with stage 1 or 2 disease (73%) (n = 24/33). The majority (97%) (32/33) underwent surgical treatment. Five-year survival was 61% (17/28), (disease-free survival 76% (13/17)). There were 12 cases of local/regional recurrence. Survival rates deteriorated with stage of disease. Lymph-node results, lowered survival from 79% (11/14), if negative, to 17% (1/6) if positive. Age >70 reduced survival from 69% (11/16) to 50% (6/12). We conclude that age, the stage of disease, and lymph-node status were important prognostic factors. The favourable outcomes reflect muItidisciplinary care--combining clinical examinations with regular home contact with specialist nurses, by telephone.</abstract><cop>Ireland</cop><pmid>17120605</pmid><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0332-3102 |
| ispartof | Irish medical journal, 2006-09, Vol.99 (8), p.234-236 |
| issn | 0332-3102 |
| language | eng |
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| source | Freely Accessible Journals |
| subjects | Adolescent Adult Aged Disease-Free Survival Female Humans Ireland - epidemiology Lymphatic Metastasis Middle Aged Neoplasm Staging Outcome and Process Assessment (Health Care) Patient Care Team Prognosis Time Factors Vulvar Neoplasms - epidemiology Vulvar Neoplasms - mortality Vulvar Neoplasms - pathology Vulvar Neoplasms - therapy |
| title | Vulval cancer, 1992-2002 audit--multidisciplinary care and prognostic factors |
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