Two hundred and seventy two women with vulvar cancer were submitted to standard surgical treatment. In 127 women (46.7%) regional lymph nodes were involved. Out of 181 women (66.5%) who survived 5 years, 132/145 women (91%) were with negative nodes and 49/127 women (38.6%) were with positive nodes. Surgical management of vulvar cancer is discussed, especially inguinal lymphadenectomy.
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