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    Vulvar Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - Treatment Options by Stage

    Vulvar Intraepithelial Neoplasia (VIN)

    Treatment of vulvar intraepithelial neoplasia (VIN) may include the following:

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    • Removal of single lesions or wide local excision.
    • Laser surgery.
    • Ultrasound surgical aspiration.
    • Skinning vulvectomy with or without a skin graft.
    • Biologic therapy with topical imiquimod.

    Stage I Vulvar Cancer

    Treatment of stage I vulvar cancer may include the following:

    • Wide local excision for lesions that are less than 1 millimeter deep..
    • Radical local excision and removal of nearby lymph nodes.
    • Radical local excision and sentinel lymph node biopsy. If cancer is found in the sentinel lymph node, nearby lymph nodes are also removed.
    • Radiation therapy for patients who cannot have surgery.

    Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage I vulvar cancer. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI Web site.

    Stage II Vulvar Cancer

    Treatment of stage II vulvar cancer may include the following:

    • Radical local excision and removal of nearby lymph nodes.
    • Modified radical vulvectomy or radical vulvectomy for large tumors. Nearby lymph nodes may be removed. Radiation therapy may be given after surgery.
    • Radical local excision and sentinel lymph node biopsy. If cancer is found in the sentinel lymph node, nearby lymph nodes are also removed.
    • Radiation therapy for patients who cannot have surgery.

    Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage II vulvar cancer. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI Web site.

    Stage III Vulvar Cancer

    Treatment of stage III vulvar cancer may include the following:

    • Modified radical vulvectomy or radical vulvectomy. Nearby lymph nodes may be removed.Radiation therapy may be given after surgery.
    • Radiation therapy or chemotherapy and radiation therapy followed by surgery.
    • Radiation therapy with or without chemotherapy for patients who cannot have surgery.
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