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

1. ”Carol Davila” Univeristy of Medicine and Pharmacy, Bucharest, Romania 2. ”Ponderas” Hospital, Bucharest, Romania 3. I.O.M.C, Polizu Hospital, Bucharest, Romania 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.