Relevance of computerized tomography in the preoperative evaluation of patients with vulvar cancer: a prospective study

Table 4 Impact of preoperative examinations and CT scans on surgical strategy

Impact of preoperative examinations on surgical strategy
Strategy	Pre-CT treatment plan, n	Post-CT treatment plan, n	CT changing treatment plan, n
Vulvectomy and unilateral SNL^a dissection	7	7	No change^b
Vulvectomy and bilateral SNL dissection	13	13	No change^c
Vulvectomy and bilateral lymphadenectomy	1	1	No change^d
Surgery and radiotherapy or primary radiotherapy	6	4	2 patients had a changed surgical plan–x-ray and clinical findings indicated further imaging.^e

^aSentinel node (SNL)
^bBilateral SNL dissection
^cUnilateral lymphadenectomy
^dVulvectomy and unilateral lymphadenectomy
^ePrimary radiotherapy, due to invasion of the ilium (patient one). Vulvectomy and radiotherapy, due to pulmonary metastases from an adenocarcinoma of the caecum (patient two)

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