Management of carcinoma in situ of the vulva.

  title={Management of carcinoma in situ of the vulva.},
  author={J P Forney and Christopher P Morrow and Duane E. Townsend and Philip John Disaia},
  journal={American journal of obstetrics and gynecology},
  volume={127 8},
Concern about multicentricity and occult invasion has led authorities to recommend total vulvectomy in the management of carcinoma in situ of the vulva (VCIS). Of these considerations, only occult invasion has sufficient import to contraindicate a more conservative therapeutic approach. VCIS is being diagnosed with increasing frequency in young women for whom the deforming and sexually crippling effects of vulvectomy are especially repugnant. Because of its distinctive success in localizing… CONTINUE READING