局所進行外陰癌に対し腹腔鏡下骨盤内臓全摘術を施行した１例

抄録

　Vulvar cancer is a relatively rare gynecologic malignancy, and the primary treatment for this neoplasm is complete surgical excision. This case report details a 73-year-old patient who underwent complete surgery assisted laparoscopic pelvic exenteration (PE) for vulvar cancer. The patient presented with physical activity difficulties, and clinical examination revealed a bulky vulvar tumor with perineal bleeding and severe anemia. Diagnostic imaging showed a 15 cm vulvar tumor within the pelvis, involving the pubis, upper two-thirds of the urethra, upper two-thirds of the vagina, and the anus, without distant metastasis.The laparoscopic PE procedure which the patient underwent included radical vulvectomy, partial adductor muscle excision, pubic resection, bilateral pelvic and inguinal lymph node dissection, ileal conduit urinary diversion, sigmoid colostomy, and flap reconstruction. The final diagnosis was vulvar cancer (adenoid cystic carcinoma, pT３N０M０, FIGO stage IVA).