Recommendations – ESGO Gynae-Oncology Guidelines

Guidelines for the Management of Vulvar Cancer


Chaired by Prof. Ate van der Zee and Dr. Maaike Oonk (Netherlands), this project is aimed at developing clinically relevant and evidence-based guidelines for the management of patients with squamous cell carcinoma of the vulva throughout Europe.

The guidelines cover diagnosis, preoperative investigations, surgical management (local, treatment, reconstructive surgery), sentinel lymph node procedure, radiation therapy, chemoradiation, systemic treatment, treatment of recurrent disease (vulvar recurrence, groin recurrence, distant metastases), and follow-up.



The ESGO Council nominated an International Expert Panel made of practicing clinicians who provide care to vulvar cancer patients and have demonstrated leadership and interest in the management of vulvar patients  (18 experts across Europe).

To ensure that the statements are evidence-based, the current literature, identified from a systematic search carried out in MEDLINE and selected websites, has been reviewed and critically appraised. In the absence of any clear scientific evidence, judgment was based on the professional experience and consensus of the Development Group (expert agreement).

The process includes also an external evaluation of the guidelines. The ESGO Council established a large panel of practicing clinicians and patients independent from the Development Group to evaluate the guidelines (quantitative and qualitative evaluations). Responses were pooled and discussed by the Expert Panel.

The outcomes were published in the International Journal of Gynecological Cancer.

Interested to download your copy?

-> Click here for the PDF Pocket Guidelines for the Management of Vulvar Cancer

-> Click here for the PDF version of the complete Guidelines

-> Click here for the PDF of the published article.

ESGO Guidelines for the Management of Vulvar Cancer project: International Experts Panel & External Reviewers

The European Society of Gynaecological Oncology and its Guidelines, Recommendations and the Quality Assurance Committee would like to express their sincere gratitude to the international experts panel, who devoted their time and effort to the ESGO Guidelines for the Management of Vulvar Cancer project.


Name Specialty Affiliation
Ate van der Zee Gynaecologic Oncologist (chair) University Medical Center, Groningen (Netherlands)
Maaike Oonk Gynaecologic Oncologist (co-chair) University Medical Center, Groningen (Netherlands)
François Planchamp Methodologist Institut Bergonié, Bordeaux (France)
Peter Baldwin Gynaecologic Oncologist Addenbrooke’s Hospital, Cambridge (United Kingdom)
Mariusz Bidzinski Gynaecologic Oncologist Hollycross Oncology Center, Kielce (Poland)
Mats Brännström Gynaecologic Oncologist University of Göteborg, Göteborg (Sweden)
Fabio Landoni Gynaecologic Oncologist European Institute of Oncology, Milano (Italy)
Sven Mahner Gynaecologic Oncologist University Medical Center, Hambourg (Germany)
Sergio Martinez Gynaecologic Oncologist Hospital Clinic, Barcelona (Spain)
Umesh Mahantshetty Radiation Oncologist Tata Memorial Hospital, Mumbai (India)
Mansoor Mirza Medical Oncologist Finsen Centre, Rigshospitalet, Copenhagen (Denmark)
Cordula Petersen Radiation Oncologist University Medical Center, Hambourg (Germany)
Sigrid Regauer Pathologist Medical University, Graz (Austria)
Lukas Rob Gynaecologic Oncologist Charles University , Prague (Czech Republic)

External Reviewers

49 Countries - 181 Reviewers

ESGO would also like thank external reviewers who have taken the time to provide their feedback on the document elaborated in the framework of the ESGO Guidelines for the Management of Vulvar Cancer Project.

We would further like to extend a special thank you to VulvaKarzinom-Selbsthilfegruppe e.V., a German patient group which kindly elaborated a statement on the medical care situation for vulvar cancer from the point of view of a patient representation.

-> Click here to view the list of external reviewers

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