title: Contralateral groin node metastasis following ipsilateral groin node dissection in vulval cancer: a case report.
abstract: BACKGROUND
  The majority of vulval cancers are of the squamous cell type. Current operative management strategies are based on modifications of radical vulvectomy and groin node dissection, enabling a more individualised and conservative approach to surgery. This has led to interesting dilemmas regarding the most appropriate management in certain individuals.
  
  
  METHODS
  We describe a case of a contralateral recurrence following unilateral groin node dissection for vulval cancer, with an initial single microscopically positive node. The patient did not receive adjuvant treatment. Evidence regarding the safety of this approach is discussed.
  
  
  CONCLUSIONS
  The subject remains controversial, and further such cases should be recorded in the literature in order to gather more information on this difficult problem.
authors.affiliation: Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK. suzijackson@doctors.org.uk
authors.forename: K S
authors.initials: KS
authors.lastname: Jackson
authors.forename: N
authors.initials: N
authors.lastname: Das
authors.forename: R
authors.initials: R
authors.lastname: Naik
authors.forename: A
authors.initials: A
authors.lastname: Lopes
authors.forename: J M
authors.initials: JM
authors.lastname: Monaghan
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery*