Radioterapia w leczeniu raka sromu

Abstract

Cancer of the vulva is undoubtedly a serious social problem. It, more and more often, affects young women and is associated with the spread of infection with cancer-causing HPV types. It is recommended that treatment of vulvar cancer dealt with an interdisciplinary team consisting of a gynecologist oncologist, radiotherapist oncologist, pathologist, radiologist, and psychologist. The current, modern treatment strategy is based on saving procedures. Patients with very advanced disease are often treated only by surgery. Adjuvant radiotherapy is reserved for cases with close or positive margins or with metastatic inguinal lymph nodes to ensure adequate local control and longer overall survival.

Treatment of locally advanced vulvar cancer is more complex and represents a considerable challenge. It needs a combination treatment: surgery, radiotherapy and chemoradiation. Treatment through ionizing radiation plays an important role in the radical treatment of inoperable cases either before or after surgery as a treatment for cases of operations.

At the end of the treatment it is extremely important to have proper quality rehabilitation, and often counseling to harmoniously return to active life.