Sally Hargraves Is a 72-Year-Old Patient with Multicentric Carcinoma in Situ

question 21

Multiple Choice

Sally Hargraves is a 72-year-old patient with multicentric carcinoma in situ (CIS) of the vulva,without evidence of leukoplakia and pruritus.She has a history of prior papillomavirus infection.Select the most appropriate surgical option.

• A) Radical vulvectomy with inguinal lymph node dissection
• B) Skinning vulvectomy
• C) CO₂ laser surface ablation of the vulvar lesions
• D) Simple vulvectomy

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