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Nasdaldy Malik

Dharmais National Cancer Hospital, Indonesia

Title: Extensive Vulvectomy And Reconstructive Flaps For Advanced Vulvar Cancer In Young Woman – A Case Presentation

Abstract

Introduction: Vulvar cancer is a rare disease accounting for approximately 5% of female genital tract tumors worldwide. It is a squamous cell cancer that mostly affects older women over the age of 65. In the existing body of literature, no instances of vulvar cancer have been documented in the form of case reports. Therefore, this study aimes to report the challenges and outcomes of vulvectomy with reconstructive flap in vulvar cancer survivor in a 39  year-old woman.

Case presentation: A 39 year-old woman with palpable lump around the vulva was present and being examined. The anatomic pathology report (APR) features suggested poorly differentiated malignant tumors. A neoadjuvant chemotherapy was then administered to the patient aimed at shringking the size of tumor. However, there was no effective response to the chemotherapy, which resulted in a progressive tumor. Extensive vulvectomy and reconstructive flap were carried out to support quality of life, and the outcomes were reported, including flap, survival, complications and mortality. Thes outcomes were evaluated between November 2021 untill March 2023. No total flap loss was observed, and neither was there any donor site morbidity or mortality during the process.

Biography

Nasdaldy Malik has been a staff of Division of Gynecology Oncology at Dharmais National Cancer Hospital since 1993. He completed the clinical training in Gynecology Oncology at National Cancer Center Hospital, Tokyo, Japan on 1988.