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A stage Ia vulvar carcinoma with an inguinal lymph node recurrence after local excision. A case report and literature review
  1. J. Van Der Velden*,
  2. C. D. Kooyman,
  3. A. C.M. Van Lindert* and
  4. A. P.M. Heintz*
  1. * Department of Obstetrics and Gynecology, Division of Gynecologic Oncology and
  2. Department of Pathology, Academic Hospital of the University of Utrecht, Utrecht, The Netherlands
  1. Address for correspondence: J.v.d. Velden, M.D., Department of Obstetrics and Gynecology, University Hospital Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.


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.

  • microinvasive vulvar carcinoma
  • vulvar carcinoma.

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