Abstract: The treatment of vulvar cancer is difficult. The radical surgery is a therapy that would result in a high disability and a poor quality of life for patients who have undergone this mutilated treatment. Radiotherapy plays an increasingly important role in the individualized and comprehensive treatment of vulvar cancer. Preoperative radiotherapy is expected to get a radical surgery without viscera resection for the advanced patients who can not be operated at first. Postoperative radiotherapy is mainly aimed to reduce the risk of recurrence after surgery for the patients who have high risk factors of recurrence. Radical radiotherapy can make the patient avoid the severe complications of surgery and ensure the quality of life after treatment. However , the long-term effect remains to be further research. As a new approach of radiotherapy, the intensity modulated radiation therapy (IMRT) combines with concurrent chemoradiation may be expected to make an effective treatment and a high quality of life for vulvar cancer.

Key words: Vulvar neoplasms, Radiotherapy, Antineoplastic combined chemotherapy protocols, Intensity modulated radiation therapy