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Published on: September 12, 2019
A stage Ia vulvar carcinoma with an inguinal lymph node recurrence after local excision. A case report and literature
J. Van Der Velden1, C.D. Kooyman, A.C.M. Van Lindert
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology and Department of Pathology, Academic Hospital of the University of Utrecht, Utrecht, The Netherlands.
Abstract:
A patient with a stage Ia vulvar squamous cell carcinoma (< 1 mm invasion) is reported in which an inguinal recurrence one and a half years after partial radical vulvectomy and superficial inguinal lymph node sampling was noted. After the initial biopsy showing a tumor invading 0.3 mm into the stroma, residual tumor could not be shown in the vulvectomy specimen nor in the superficial lymph nodes. A review of the literature indicates that this is only the second reported case of stage Ia vulvar carcinoma with lymph node metastases.