(A) En bloc removal.
(B) Radical vulvectomy with bilateral inguinal-femoral lymphadenectomy through three separate incisions.
(C) Unilateral lymphadenectomy for a well-lateralized lesion.
(D) Early lesion with omission of lymphadenectomy.
Reproduced with permission from: Hoffman MS, Stickles XB. Malignancies of the vulva. In: Te Linde's Operative Gynecology, 11th ed, Jones III HW, Rock JA (Eds), Lippincott Williams & Wilkins, Philadelphia 2015. Copyright © 2015 Wolters Kluwer.
www.lww.com.
