Vaginectomy: Partial and Complete
Vaginectomy: Partial and Complete Kenneth D. Hatch GENERAL PRINCIPLES Cancer of the vagina is most commonly treated with radiation therapy. Some patients with cancer of the upper vagina with thickness…
Reconstructive Flaps for the Vulva
Reconstructive Flaps for the Vulva Kenneth D. Hatch GENERAL PRINCIPLES The surgical treatment of cancer of the vulva requires wide excision of the tumor. If the resulting defect is not…
Sentinel Nodes for Vulva Cancer
Sentinel Nodes for Vulva Cancer Kenneth D. Hatch GENERAL PRINCIPLES The major morbidity from complete inguinal-femoral node dissection is lower-extremity lymphedema. This may be accompanied by recurrent lymphangitis. This has…
Groin Dissection
Groin Dissection Kenneth D. Hatch GENERAL PRINCIPLES Groin dissection is indicated when the risk of metastasis to the groin is sufficient. This means all lesions are with more than 1-mm…
Radical Vulvectomy
Radical Vulvectomy Kenneth D. Hatch GENERAL PRINCIPLES Radical vulvectomy is most often performed for invasive cancer of the vulva or the Bartholin gland. Definition Excision of the skin and subcutaneous…
Superficial Vulvectomy
Superficial Vulvectomy Kenneth D. Hatch GENERAL PRINCIPLES Superficial vulvectomy is most often performed for excision of vulvar intraepithelial neoplasia (VIN). VIN 1 is not considered a cancer precursor and excision…
Nevi and Melanoma in Children
Nevi and Melanoma in Children Gina Prado Pigmented lesions in childhood can pose diagnostic and therapeutic challenges for pediatric surgeons. This chapter examines the common pigmented lesions encountered in childhood….
Rhabdomyosarcoma
Rhabdomyosarcoma Courtland Polley Rhabdomyosarcomas (RMSs) are primary malignant soft tissue tumors that arise from embryonic mesenchyme with the potential to differentiate into skeletal muscle.1 They are rare overall but account…
CNS Tumors in Children
CNS Tumors in Children Lukas Gaffney Brain and central nervous system (CNS) tumors are the most common pediatric solid organ tumor and second most common malignancy overall behind leukemia.1 CNS…
Pediatric Orthopedic Tumors
Pediatric Orthopedic Tumors Blaze D. Emerson Bijan J. Ameri The most common malignant bone tumor is osteosarcoma (OS) and the Ewing sarcoma family of tumors (ESFT), which account for 90%…
