Abstract
We report a case of a woman with vulvar melanoma, arisen from a plane melanocytic lesion, extended from clitoris to the left minor labium. After diagnostic biopsy, a preoperative lymphoscintigraphy with 99m-Tc nanocolloid was performed. Surgery consisted in a radical vulvectomy, radio-controlled lymphadenectomy and vulvar reconstruction by two bilateral subgluteus soft-tissue flaps, anastomosing the urethral and vaginal stumps. Five years follow-up was negative for neoplastic recurrence.
MeSH terms
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Biopsy, Needle
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Female
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Follow-Up Studies
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Humans
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Lymph Node Excision
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Melanoma / diagnosis
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Melanoma / diagnostic imaging
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Melanoma / surgery*
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Middle Aged
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Preoperative Care
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Radionuclide Imaging
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Radiopharmaceuticals
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Surgical Flaps*
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Surgical Procedures, Operative / methods*
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Technetium Tc 99m Aggregated Albumin
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Treatment Outcome
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Vulvar Neoplasms / diagnostic imaging
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Vulvar Neoplasms / pathology
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Vulvar Neoplasms / surgery*
Substances
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Radiopharmaceuticals
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Technetium Tc 99m Aggregated Albumin
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technetium Tc 99m nanocolloid