Blood transfusion and the risk of recurrence in squamous carcinoma of the vulva

Katherine Y. Look, Melissa Reisinger, Frederick B. Stehman, Margaret Miser, Clarence E. Ehrlich, Gregory P. Sutton

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

OBJECTIVE: Our purpose was to determine if postoperative transfusion increases the risk of recurrence in patients who have undergone operation for squamous carcinoma of the vulva. STUDY DESIGN: Data from 154 patients with squamous carcinoma of the vulva treated at Indiana University Medical Center from 1974 through 1988 were retrospectively analyzed to determine the influence of postoperative transfusion on recurrence risk. Patients were evaluated for International Federation of Gynecology and Obstetrics stage, lesion size, lesion depth, grade, patient age, number of transfusions, and recurrence with ξ2 analysis, Fisher's exact test, and the Student t test where appropriate. RESULTS: Transfusions were given to 57 patients (37%) with a mean of 2.2 units delivered (range 1 to 5 units). Transfused patients differed significantly from those not transfused in that they had more advanced stage (p = 0.002), more positive nodes (p = 0.03), and higher grade lesions (p = 0.03), and they were older (p = 0.005). Recurrences developed in 25 patients (16.2%). Recurrences were more common in those with positive nodes (10-39, 25.6%) than in those with negative nodes (8/99, 8%), (p = 0.01). Only nodal status was predictive of recurrence in this series. Transfused patients had a 14% (8/57) rate of recurrence, whereas the recurrence risk was 17.5% (17/97) in those not transfused (p = 0.65). CONCLUSIONS: We have been unable to confirm that postoperative transfusions increase the risk of recurrence in patients with squamous carcinoma of the vulva.

Original languageEnglish (US)
Pages (from-to)1718-1723
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume168
Issue number6 PART 1
DOIs
StatePublished - Jun 1993

Keywords

  • transfusion
  • Vulvar carcinoma

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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