If Paget’s disease is present and there's no invasive adenocarcinoma, treatment is wide local excision or simple vulvectomy (see Surgery for Vulvar Cancer for details).
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 location of the primary tumor.
Advanced vulvar adenocarcinoma is often treated with chemotherapy or radiation.
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Last Revised: January 16, 2018
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