Verrucous carcinoma of the vulva: study of 24 cases.

The clinicopathologic features of 24 cases of vulvar verrucous carcinoma were reviewed. Based on the absence of lymph node metastasis in 27 patients who underwent radical vulvectomy with lymph node dissection (10 in previous series, 17 in present series), a conservative approach consisting of wide local excision is suggested. Radiotherapy did not aid in prolonging survival.