Management of Regional Lymph Nodes and their Prognostic Influence on Vulvar Cancer

Abstract

Within the past 5 years, two opposing points of view have been expressed regarding the extent of lymphadenectomy required for treatment of vulvar cancer. Krupp and Bohm suggested that optimum therapy required bilateral pelvic lymphadenectomy in addition to extended vulvectomy and bilateral inguinal lymphadenectomy [1]. On the other hand, Morris [2] advocated omitting the pelvic lymphadenectomy and the contralateral inguinal lymphadenectomy, provided that the primary tumour was unilateral and the ipsilateral inguinal-femoral nodes were negative.