OBJECTIVE: To evaluate different surgical approaches in early squamous @entity5 . METHODS: Review of clinical and histopathologic data and follow-up information of 216 @entity1 with clinical FIGO stage I-II disease, primarily treated by surgery from 1977-1991. RESULTS: Eighty-nine @entity1 underwent radical vulvectomy with bilateral groin dissection by en bloc excision, 60 by the triple incision technique, 20 individualized vulvar surgery with uni-or bilateral groin dissection, and 47 vulvar surgery only. Groin @entity3 occurred in 9% stage I and 25% stage II disease. Groin involvement was not seen in stage I @entity5 with invasion depth < or =/=1 mm. Bilateral @entity3 occurred in medially located @entity5 of both stages, and laterally located stage II. @entity3 were ipsilateral in lateral stage 1. Separate groin dissection significantly reduced morbidity. Sixty-six @entity1 relapsed, 14 after more than 5 years. Vulvar recurrence was related to @entity5 diameter and the condition of the resection borders. The single most important predictor of @entity204 from @entity5 was the presence of inguinal femoral lymph node @entity3 . Conservative and individualized surgery did not compromise 5-year survival. CONCLUSIONS: A careful selection of @entity1 fitted for less radical surgery is essential to avoid undertreatment. Groin dissection can be omitted in @entity5 with diameters < or =/=2 cm and invasion depth < or =/=1 mm. At least ipsilateral groin dissection is needed in all other cases. Groin dissection should be performed through separate incisions. Modified vulvectomy is appropriate provided radicality can be obtained. Long-time follow-up is important as recurrences can be seen many years after primary therapy.

Have XXXX with early squamous carcinoma of the vulva been overtreated in the past? The Norwegian experience 1977-1991.

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'vulvar cancer', 'tumors'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases', 'Metastases']
@entity1 :: (9606,Species) :: ['patients']
