Introduction/Background Vulvar carcinomas comprise almost 5% of all malignant tumors of the female genital tract. The final diagnosis is made after histologic examination of biopsy specimens obtained from different sites in the vulva. Primary therapeutic approach in all cases is surgery, whereas the operative procedure depends on the size and location of the lesion, stage of the disease, general condition and age of the patient, as well as on the condition of the surrounding tissue and possible continuance of sexual life.

Methodology A 54-year-old female patient presented with a vulvar tumor of about 30x25 mm in size arising 1/3 upper side of the right vulva.

Results She underwent radical vulvectomy with triple insicion and bilateral inguinal lymph node dissection. Histopathological report showed well differentiated SCC of vulva with no lymphnodes involvement. All surgical margins and base of growth were free of tumor.

Conclusion Radical vulvectomy associated with bilateral inguinal-femoral lymphadenectomy is a standard procedure in surgical treatment of invasive stages of vulvar carcinoma protruding more than 1 mm.

Disclosures All authors declare that they have no conflicts of interest to report.