open access

Vol 88, No 4 (2017)
Clinical vignette
Published online: 2017-04-28
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An alternative approach to gynecological wound healing

Jakub Rzepka, Katarzyna Mosoń, Romuald Dębski
DOI: 10.5603/GP.a2017.0042
·
Pubmed: 28509325
·
Ginekol Pol 2017;88(4):222-223.

open access

Vol 88, No 4 (2017)
CLINICAL VIGNETTES
Published online: 2017-04-28

Abstract

An 89-year-old woman was reffered to our Clinic with vulvar cancer. She also suffered from obesity [with body mass index (BMI) 35 kg/m2], persistent hypertension, diabetes mellitus type 2 treated with oral medications. In 2015 she underwent a surgery due to endometrial carcinoma. Total abdominal hysterectomy with bilateral salphingoophorectomy, omentectomy and pelvical node dissection was performed (histopathology revealed adenocarcinoma serosum G2; FIGO stage Ib). In January 2016 after vulvar ulceration biopsy plano-epithelial squamous vulvar cancer was diagnosed. She was referred to surgery. She has undergone an operation in October 2016. She was admitted to gynaecological unit at our institution. Physical examination revealed mutilated vulva with excised labia major, labia minor, and narrowing of vaginal orifice. The right side shown tumor 2.5 cm in diameter, with slough area and no deep infiltration and satellital nodule on the left labia majora 1cm in diameter. The cervix, vaginal wall, rectum and anus appeared normal. There were no enlarged lymph nodes at the inguinal area.

Abstract

An 89-year-old woman was reffered to our Clinic with vulvar cancer. She also suffered from obesity [with body mass index (BMI) 35 kg/m2], persistent hypertension, diabetes mellitus type 2 treated with oral medications. In 2015 she underwent a surgery due to endometrial carcinoma. Total abdominal hysterectomy with bilateral salphingoophorectomy, omentectomy and pelvical node dissection was performed (histopathology revealed adenocarcinoma serosum G2; FIGO stage Ib). In January 2016 after vulvar ulceration biopsy plano-epithelial squamous vulvar cancer was diagnosed. She was referred to surgery. She has undergone an operation in October 2016. She was admitted to gynaecological unit at our institution. Physical examination revealed mutilated vulva with excised labia major, labia minor, and narrowing of vaginal orifice. The right side shown tumor 2.5 cm in diameter, with slough area and no deep infiltration and satellital nodule on the left labia majora 1cm in diameter. The cervix, vaginal wall, rectum and anus appeared normal. There were no enlarged lymph nodes at the inguinal area.

Get Citation

Keywords

vulvar cancer, diabetes, chronic wound,ulceration, nanosilver TIAB,

About this article
Title

An alternative approach to gynecological wound healing

Journal

Ginekologia Polska

Issue

Vol 88, No 4 (2017)

Article type

Clinical vignette

Pages

222-223

Published online

2017-04-28

DOI

10.5603/GP.a2017.0042

Pubmed

28509325

Bibliographic record

Ginekol Pol 2017;88(4):222-223.

Keywords

vulvar cancer
diabetes
chronic wound
ulceration
nanosilver TIAB

Authors

Jakub Rzepka
Katarzyna Mosoń
Romuald Dębski

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