2020 Annual Global Meeting: Virtual-Master Session: Vulvar Cancer

Video Transcription

Video Summary

In a virtual IGCS meeting, a master session on vulva cancer is moderated by Dr. Aad van der Zee and Dr. Michael Höckel. The session covers various aspects of vulva cancer, including etiology, pathology, surgical treatment, and adjuvant treatment. Dr. Joanne de Hulie discusses the etiology and pathology of vulva cancer while Dr. Ong focuses on the current standard of care for early-stage vulva cancer. Dr. Ong highlights the importance of wide local excision and individualized treatment. Groin treatment and the GroinV2 study, investigating radiotherapy efficacy, are also discussed. Results show low recurrence rates with radiotherapy in patients with micrometastasis but higher rates in patients with macrometastasis. Dr. Nadja Dornhofer presents a new concept of tumor spread based on the cancer field theory, aiming to improve outcomes and quality of life. Preliminary results of the cancer-filled surgery show promising outcomes. The session provides insights into the standard of care and explores new treatment approaches for vulva cancer.<br /><br />The speakers are acknowledged for their contributions. The debate revolves around improving surgery for vulvar cancer rather than relying solely on adjuvant treatments like radiotherapy. The concept of cancer field surgery, resecting the entire embryologic compartment of the tumor, is discussed to prevent local recurrence. However, the extent of surgery and inclusion of lymph node treatment are topics of debate. Accurate diagnosis of underlying skin diseases is emphasized for preventing recurrence. The role of adjuvant radiotherapy, its indication criteria, and potential addition of chemotherapy are discussed. Multi-center studies are stressed as necessary to validate and expand the presented results.<br /><br />Credits are given to Dr. Aad van der Zee, Dr. Michael Höckel, Dr. Joanne de Hulie, Dr. Ong, and Dr. Nadja Dornhofer for their contributions in the session.

Keywords

vulva cancer

surgical treatment

adjuvant treatment

etiology

pathology

radiotherapy efficacy

wide local excision

individualized treatment

tumor spread

cancer field theory

cancer-filled surgery

standard of care

lymph node treatment