Management of Advanced Squamous Cell Carcinoma of the Vulva

dc.contributor.authorRogers, Linda J.
dc.date.accessioned2022-04-05T09:10:58Z
dc.date.available2022-04-05T09:10:58Z
dc.date.issued2021-12-30
dc.date.updated2022-01-10T14:37:51Z
dc.description.abstractVulvar cancer is a rare gynaecological malignancy, accounting for 2–5% of cancers of the female genital tract. Squamous cell carcinoma is the most frequently occurring subtype and, historically, has been a disease of older post-menopausal women, occurring with a background of lichen sclerosus and other epithelial conditions of the vulvar skin that may be associated with well-differentiated vulvar intra-epithelial neoplasia (dVIN). An increase in human papillomavirus (HPV) infections worldwide has led to an increase in vulvar squamous carcinomas in younger women, resulting from HPV-associated high-grade vulvar squamous intra-epithelial lesions (vHSIL). Surgical resection is the gold standard for the treatment of vulvar cancer. However, as approximately 30% of patients present with locally advanced disease, which is either irresectable or will require radical surgical resection, possibly with a stoma, there has been a need to investigate alternative forms of treatment such as chemoradiation and targeted therapies, which may minimise the psychosexual morbidity of radical surgery. This review aims to provide an update on management strategies for women with advanced vulvar cancer. It is hoped that investigation of the molecular biologies of the two different pathways to vulvar squamous cell carcinoma (HPV-associated and non-HPV-associated) will lead to the development of targeted therapeutic agents.
dc.identifierdoi: 10.3390/cancers14010167
dc.identifier.apacitationRogers, Linda J. (2021). Management of Advanced Squamous Cell Carcinoma of the Vulva. http://hdl.handle.net/11427/36263en_ZA
dc.identifier.chicagocitationRogers, Linda J. "Management of Advanced Squamous Cell Carcinoma of the Vulva." (2021) http://hdl.handle.net/11427/36263en_ZA
dc.identifier.citationRogers, Linda J. 2021. Management of Advanced Squamous Cell Carcinoma of the Vulva. http://hdl.handle.net/11427/36263en_ZA
dc.identifier.risTY - Journal Article AU - Rogers, Linda J. AB - Vulvar cancer is a rare gynaecological malignancy, accounting for 2–5% of cancers of the female genital tract. Squamous cell carcinoma is the most frequently occurring subtype and, historically, has been a disease of older post-menopausal women, occurring with a background of lichen sclerosus and other epithelial conditions of the vulvar skin that may be associated with well-differentiated vulvar intra-epithelial neoplasia (dVIN). An increase in human papillomavirus (HPV) infections worldwide has led to an increase in vulvar squamous carcinomas in younger women, resulting from HPV-associated high-grade vulvar squamous intra-epithelial lesions (vHSIL). Surgical resection is the gold standard for the treatment of vulvar cancer. However, as approximately 30% of patients present with locally advanced disease, which is either irresectable or will require radical surgical resection, possibly with a stoma, there has been a need to investigate alternative forms of treatment such as chemoradiation and targeted therapies, which may minimise the psychosexual morbidity of radical surgery. This review aims to provide an update on management strategies for women with advanced vulvar cancer. It is hoped that investigation of the molecular biologies of the two different pathways to vulvar squamous cell carcinoma (HPV-associated and non-HPV-associated) will lead to the development of targeted therapeutic agents. DA - 2021-12-30 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PY - 2021 T1 - Management of Advanced Squamous Cell Carcinoma of the Vulva TI - Management of Advanced Squamous Cell Carcinoma of the Vulva UR - http://hdl.handle.net/11427/36263 ER -en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36263
dc.identifier.urihttps://doi.org/10.3390/cancers14010167
dc.identifier.vancouvercitationRogers Linda J. Management of Advanced Squamous Cell Carcinoma of the Vulva. 2021; http://hdl.handle.net/11427/36263.en_ZA
dc.publisherMultidisciplinary Digital Publishing Institute
dc.rights.licensehttps://creativecommons.org/licenses/by/4.0
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.sourceCancers
dc.source.journalissue1
dc.source.journalvolume14
dc.source.urihttps://www.mdpi.com/journal/cancers
dc.titleManagement of Advanced Squamous Cell Carcinoma of the Vulva
dc.typeJournal Article
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