Vulvar cancer is surgically staged and is categorized by the pathologic evaluation of the vulvar tumor and the inguinofemoral lymph nodes. All tumors more invasive than 1 mm and larger than 2 cm require pathologic assessment of inguinofemoral lymph nodes. Sentinel node biopsy is an alternative to inguinofemoral lymphadenectomy in many cases that require a lymphadenectomy. Radical local excision with inguinofemoral lymph node assessment is the preferred procedure for early-stage disease. Primaryneoadjuvant chemoradiation is used for most advanced-stage tumors.

Original languageEnglish
Pages (from-to)45-62
Number of pages18
JournalHematology/Oncology Clinics of North America
Issue number1
StatePublished - Feb 1 2012


  • Inguinofemoral lymphadenectomy
  • Modified radical vulvectomy
  • Radical local excision
  • Sentinel lymph node biopsy
  • Vulvar cancer


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