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Holloway, C.L., Russell, A.H., Muto, M. and Albert, M. (2007) Synovial cell sarcoma of the vulva: Multimodality treatment incorporating preoperative external-beam radiation, hemivulvectomy, flap reconstruction, interstitial brachytherapy and chemotherapy. Gynecologic Oncology, 104, 253-256. doi:10.1016/j.ygyno.2006.09.018

has been cited by the following article:

• TITLE: Vulvar sarcomas: A 25 plus-year experience from Queensland

  AUTHORS: Ian S. C. Jones, Alex Crandon, Karen Sanday

  KEYWORDS: Vulvar Sarcoma; Diagnosis; Management; Outcome; Follow Up

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.3 No.1, January 11, 2013

  ABSTRACT: Objective: To review the characteristics of cases of vulvar sarcomas (VS) referred to the Queensland Centre for Gynaecological Cancer (QCGC) between mid 1984 and mid 2012. Methods: VS case data from QCGC were reviewed and analysed using the computer software Statistical Package for the Social Sciences (SPSS) 11.0. Results: Of the nine cases three died of their disease, one died of ovarian cancer and five are still alive and disease free. The mean age at diagnosis was 54.8 years. Time from onset of symptoms to diagnosis averaged one month. All diagnoses were confirmed histologically. The most common presenting complaint was a lump. Treatment in all but one case involved surgical excision, one case had chemotherapy alone and two cases had surgery followed by radiotherapy. Conclusions: To talk of five year survival for patients with such a rare cancer, so many histological types with variable cell differentiation plus the unknown of when sarcomatous cells metastasize from even early FIGO staged lesions is in our opinion taking generalisation to far. A multidisciplinary approach to management achieves the best results for each individual and pooling multicentre data will improve our understanding of this rare disease and benefit future patients.