PMC6077148_01
CT scan of abdomen and pelvis demonstrating coronal view of 14 cm right vulvar tumor extending into groin 1 week prior to surgery.
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CT imaging revealed interval growth of a dense, lobulated mass involving the right labia, extending into the subcutaneous tissues anterior to the right pubic symphysis and involving the right rectus musculature; one enlarged right inguinal lymph node was identified at 1.5 cm (Fig. 1, Fig. 2).
Intraoperative view of right vulvar tumor prior to resection. Tumor measurements in pathology were 26 x 7.5 x 10.5 cm (length x width x height).
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Now two months after initial surgery, she underwent resection of a 26-cm right groin mass (Fig. 3) along with a right superficial inguinal lymphadenectomy.
Postoperative photograph after resection with radical vulvectomy, right superficial lymphadenectomy, and reconstruction using pedicled right anterolateral thigh flap and right sartorius flap.
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The abdominal wall was reconstructed with a Strattice (LifeCell, NJ, USA) underlay mesh (Fig. 4).