Anterior pelvic exenteration for pre-chemo-irradiated locally invasive vulvar cancer

Vulvar carcinomas are rare gynecologic malignancies. In cases presenting local invasion oncologic treatment such as chemo-irradiation might be performed. However complete remission is achieved in rare cases, most of the patients necessitating an aggressive surgical therapy such as pelvic exenteration. We present the case of a 78 year old patient who was diagnosed with a poorly differentiated squamous cell vulvar cancer with urethral invasion in whom a total vulvectomy en bloc with anterior pelvic exenteration, pelvic, para-aortic and inguinal lymph node dissection was performed.