There are several surgical options for vulvar cancer, depending on the size, stage, and location of the tumor. The most common procedure is wide local excision, which involves removing the tumor along with a margin of healthy tissue. For more advanced cases, a radical vulvectomy may be required, where a larger portion of vulvar tissue is removed, and sometimes even the clitoris or nearby structures if involved. In some situations, lymph node dissection in the groin area is also necessary to check for the spread of cancer. Surgeons today strive to balance oncologic safety with cosmetic and functional outcomes, using reconstructive techniques where needed. Minimally invasive procedures, when possible, reduce hospital stays and speed up recovery. The choice of surgery is determined after detailed discussions with a multidisciplinary team that includes gynecologic oncologists, pathologists, and radiologists. These procedures require a surgeon with specialized expertise due to the anatomical and emotional sensitivity of the area. For advanced surgical techniques and expert care, patients are advised to seek consultation with Dr. Rahul Modi, who is well-versed in these delicate procedures.
