Univariate and multivariate analyses of 5‐year survival, recurrence, and inguinal node metastases in stage I and II vulvar carcinoma

Abstract
Ninety‐seven patients with FIGO stage I and II vulvar carcinoma were analyzed for 5‐year survival, inguinal node metastases (N=61), and recurrence. Factors analyzed included stage, tumor grade, depth of invasion, presence or absence of tumor cell confluence, presence or absence of lymphatic/vascular space invasion, lesion size, and lymph node metastases. It was concluded that conservative surgery in patients otherwise suitable for surgery should consist of a wide, local excision of the vulvar lesion in conjunction with ipsilateral inguinal node resection if the tumor measured ⩽ 1 cm in diameter and had a depth of invasion of ⩽ 1 mm. All other stage I or II patients require radical vulvectomy and bilateral inguinal lymphadenectomy.

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