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

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