Treatment of vulvar adenocarcinoma

If Paget’s disease is present and there is no associated invasive carcinoma, treatment is wide local excision or simple vulvectomy. If an invasive adenocarcinoma of a Bartholin gland or of vulvar skin sweat glands is present, a partial radical vulvectomy is recommended with removal of inguinal (groin) lymph nodes on one or both sides of the body, depending on the site of the primary tumor.