Standard Treatment Vulvar cancer that has spread to distant sites is treated with chemotherapy , but there is no standard chemotherapeutic regimen. Cisplatin , carboplatin , methotrexate , vincristine and bleomycin are all commonly used drugs.
Usually palliative local surgical removal or radiation therapy to the vulva is done for local symptom relief.
Women with metastases to the pelvic nodes are treated with pelvic external beam radiation therapy.
Five-Year Survival From 5 percent (metastases to the lungs or liver) to 25 percent (metastases to the pelvic lymph nodes)
Investigational
• Ifosfamide , carboplatin, 5-FU , mitomycin-C , methotrexate, vincristine, bleomycin and cisplatin in various
