Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature

Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Sidor, Jutta [verfasserIn] Diallo-Danebrock, Raihana Eltze, Elke Lellé, Ralph J

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2006

Schlagwörter:	Sentinel Lymph Node Biopsy Inguinal Lymph Node Vulvar Cancer Vulvar Carcinoma Vulvar Intraepithelial Neoplasia

Anmerkung:	© Sidor et al; licensee BioMed Central Ltd. 2006

Übergeordnetes Werk:	Enthalten in: BMC cancer - London : BioMed Central, 2001, 6(2006), 1 vom: 14. Juni
Übergeordnetes Werk:	volume:6 ; year:2006 ; number:1 ; day:14 ; month:06

Links:	Volltext

DOI / URN:	10.1186/1471-2407-6-157

Katalog-ID:	SPR027608301

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520			\|a Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery.
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allfields	10.1186/1471-2407-6-157 doi (DE-627)SPR027608301 (SPR)1471-2407-6-157-e DE-627 ger DE-627 rakwb eng Sidor, Jutta verfasserin aut Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Sidor et al; licensee BioMed Central Ltd. 2006 Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213 Diallo-Danebrock, Raihana aut Eltze, Elke aut Lellé, Ralph J aut Enthalten in BMC cancer London : BioMed Central, 2001 6(2006), 1 vom: 14. Juni (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:6 year:2006 number:1 day:14 month:06 https://dx.doi.org/10.1186/1471-2407-6-157 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 14 06
spelling	10.1186/1471-2407-6-157 doi (DE-627)SPR027608301 (SPR)1471-2407-6-157-e DE-627 ger DE-627 rakwb eng Sidor, Jutta verfasserin aut Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Sidor et al; licensee BioMed Central Ltd. 2006 Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213 Diallo-Danebrock, Raihana aut Eltze, Elke aut Lellé, Ralph J aut Enthalten in BMC cancer London : BioMed Central, 2001 6(2006), 1 vom: 14. Juni (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:6 year:2006 number:1 day:14 month:06 https://dx.doi.org/10.1186/1471-2407-6-157 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 14 06
allfields_unstemmed	10.1186/1471-2407-6-157 doi (DE-627)SPR027608301 (SPR)1471-2407-6-157-e DE-627 ger DE-627 rakwb eng Sidor, Jutta verfasserin aut Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Sidor et al; licensee BioMed Central Ltd. 2006 Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213 Diallo-Danebrock, Raihana aut Eltze, Elke aut Lellé, Ralph J aut Enthalten in BMC cancer London : BioMed Central, 2001 6(2006), 1 vom: 14. Juni (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:6 year:2006 number:1 day:14 month:06 https://dx.doi.org/10.1186/1471-2407-6-157 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 14 06
allfieldsGer	10.1186/1471-2407-6-157 doi (DE-627)SPR027608301 (SPR)1471-2407-6-157-e DE-627 ger DE-627 rakwb eng Sidor, Jutta verfasserin aut Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Sidor et al; licensee BioMed Central Ltd. 2006 Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213 Diallo-Danebrock, Raihana aut Eltze, Elke aut Lellé, Ralph J aut Enthalten in BMC cancer London : BioMed Central, 2001 6(2006), 1 vom: 14. Juni (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:6 year:2006 number:1 day:14 month:06 https://dx.doi.org/10.1186/1471-2407-6-157 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 14 06
allfieldsSound	10.1186/1471-2407-6-157 doi (DE-627)SPR027608301 (SPR)1471-2407-6-157-e DE-627 ger DE-627 rakwb eng Sidor, Jutta verfasserin aut Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Sidor et al; licensee BioMed Central Ltd. 2006 Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213 Diallo-Danebrock, Raihana aut Eltze, Elke aut Lellé, Ralph J aut Enthalten in BMC cancer London : BioMed Central, 2001 6(2006), 1 vom: 14. Juni (DE-627)326643710 (DE-600)2041352-X 1471-2407 nnns volume:6 year:2006 number:1 day:14 month:06 https://dx.doi.org/10.1186/1471-2407-6-157 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2006 1 14 06
language	English
source	Enthalten in BMC cancer 6(2006), 1 vom: 14. Juni volume:6 year:2006 number:1 day:14 month:06
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topic_facet	Sentinel Lymph Node Biopsy Inguinal Lymph Node Vulvar Cancer Vulvar Carcinoma Vulvar Intraepithelial Neoplasia
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Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. 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author	Sidor, Jutta
spellingShingle	Sidor, Jutta misc Sentinel Lymph Node Biopsy misc Inguinal Lymph Node misc Vulvar Cancer misc Vulvar Carcinoma misc Vulvar Intraepithelial Neoplasia Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
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topic_title	Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature Sentinel Lymph Node Biopsy (dpeaa)DE-He213 Inguinal Lymph Node (dpeaa)DE-He213 Vulvar Cancer (dpeaa)DE-He213 Vulvar Carcinoma (dpeaa)DE-He213 Vulvar Intraepithelial Neoplasia (dpeaa)DE-He213
topic	misc Sentinel Lymph Node Biopsy misc Inguinal Lymph Node misc Vulvar Cancer misc Vulvar Carcinoma misc Vulvar Intraepithelial Neoplasia
topic_unstemmed	misc Sentinel Lymph Node Biopsy misc Inguinal Lymph Node misc Vulvar Cancer misc Vulvar Carcinoma misc Vulvar Intraepithelial Neoplasia
topic_browse	misc Sentinel Lymph Node Biopsy misc Inguinal Lymph Node misc Vulvar Cancer misc Vulvar Carcinoma misc Vulvar Intraepithelial Neoplasia
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title	Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
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title_full	Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
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title_sort	challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
title_auth	Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
abstract	Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. © Sidor et al; licensee BioMed Central Ltd. 2006
abstractGer	Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. © Sidor et al; licensee BioMed Central Ltd. 2006
abstract_unstemmed	Background It is widely accepted that vulvar carcinoma with a depth of invasion of less than one millimeter is sufficiently treated by vulvectomy or wide local excision without inguinal lymphadenectomy. Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. Consequently, the necessity of inguinal node dissection for microinvasive carcinoma needs to be discussed on an individual basis taking into account the age of the patient as well as the potential morbidity of extended surgery. © Sidor et al; licensee BioMed Central Ltd. 2006
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title_short	Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature
url	https://dx.doi.org/10.1186/1471-2407-6-157
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Case presentation However, a patient with inguinal lymph node recurrence 21 months after radical vulvectomy for stage IA squamous cell carcinoma was observed. Conclusion According to a review of the literature, there are five additional cases of metastasizing vulvar cancer with a depth of invasion of less than one millimeter. Therefore, the definition of microinvasive carcinoma of the vulva based on depth of invasion alone may not be as reliable as previously thought and does not rule out inguinal lymph node involvement or recurrence. 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Challenging the concept of microinvasive carcinoma of the vulva: report of a case with regional lymph node recurrence and review of the literature

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