title: A stage Ia vulvar carcinoma with an inguinal lymph node recurrence after local excision. A case report and literature review.
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.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology and Department of Pathology, Academic Hospital of the University of Utrecht, Utrecht, The Netherlands.
authors.forename: J.
authors.initials: J
authors.lastname: Van Der Velden
authors.forename: C.D.
authors.initials: CD
authors.lastname: Kooyman
authors.forename: A.C.M.
authors.initials: AC
authors.lastname: Van Lindert
authors.forename: A.P.M.
authors.initials: AP
authors.lastname: Heintz