This type of vulvar cancer invades adjacent tissues but rarely metastasizes. It has an excellent cure rate and is managed with only a wide local excision .
Adenocarcinoma of the Vulva
This is a rare tumor and generally arises from the Bartholin's gland, located at the opening of the vagina. Survival is related to stage. Treatment is usually radical vulvectomy and bilateral groin node dissection.
Paget's Disease
This occurs most commonly in postmenopausal white women. Intense itching is the most common symptom.
About 30 percent of Paget's disease is associated with an underlying invasive adenocarcinoma , and for these the prognosis is quite poor. But Paget's disease confined to the vulvar skin has an excellent prognosis with only rare instances of subsequent invasion or death.
If there is no underlying adenocarcinoma, a wide local excision or total vulvectomy is all that is required.
If there is an underlying adenocarcinoma, radical vulvectomy and bilateral groin dissection is usually performed.
