A 72-Year-Old Patient with Multicentric Carcinoma in Situ (CIS)of the Vulva,without

Multiple Choice

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

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