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Vulvar SCC and nonsuspicious (N0-1) inguinal nodes

groin dissection

5/25 (20.0%) N+

groin radiation

vulvectomy

Relapse :

0/25

5/27 (18.7%)

Study closed after interim analysis of 58 patients

Stehman et al. Int J Radiat Oncol Biol Phys 24:389–96;1992