A prospective study of sentinel lymph node detection in vulval carcinoma: is it time for a change in clinical practice?

Objectives: To determine the accuracy of sentinel lymph node (SLN) detection in vulval carcinoma and to report the reliability and safety of this procedure.

Methods/materials: For a period of 6 years, we recruited women undergoing surgery for vulval carcinoma. All women had a preoperative biopsy confirming the depth of invasion greater than 1 mm.