Abstract
The malignant tumours of vulva constitute cca 4% of all gynaecological malignities, their incidence is stationary and increasing with the age of the patient. Due to their small frequency of occurence the experience in therapy and diagnostics is limited.
The screening of malignant tumours of vulva does not exist - however, some women are at higher risk of their genesis. The most often carcinoma is squamous carcinoma, rarely it is melanoma, adenocarcinoma, basalioma, non-sorted carcinoma, sarcoma or other rare malignities.
The diagnostics of malignant tumours of vulva should be simple. The basic therapeutic methods are naked eye examination and vulvoscopy.
Nonreplaceable position belongs to biopsy and ingvinal ganglia examination. The prognosis of malignant tumour is uncertain.
The basic therapeutical modality is surgical treatment. Radiotherapy is used as an adjuvant therapy or in non-operable patients.
Recently, rather conservative method is recommended in early stages, in advanced forms it is radical surgical treatment and consequent monitoring in oncological centres