title: Groin recurrence following Stage 1A squamous cell carcinoma of the vulva.
abstract: BACKGROUND
  It has been well established that stage 1 squamous cell carcinomas of the vulva with a depth of stromal invasion less than 1 mm have a <1% risk of lymph node involvement. The treatment for these stage 1A tumours has therefore been to perform radical wide local excision without removal of groin nodes.
  
  
  METHODS
  We present two cases of stage 1A microinvasive cancer of the vulva that presented with groin recurrence 3 months and 3 years following their primary surgery respectively.
  
  
  CONCLUSIONS
  The current management of stage 1A tumours may need to be re-evaluated to include some form of lymph node assessment in view of these rare but nonetheless aggressive tumours.
authors.affiliation: Department of Obstetrics and Gynaecology, St. James' University Hospital, Beckett Street, Leeds LS9 7TF, UK. amudhawork@gmail.com
authors.forename: Amudha
authors.initials: A
authors.lastname: Thangavelu
authors.forename: Alison
authors.initials: A
authors.lastname: Andrew
authors.forename: E J
authors.initials: EJ
authors.lastname: Buxton
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D005260:Female; D006119:Groin; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D009367:Neoplasm Staging; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000601:surgery