BGNDBilateral Groin Node Dissection
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Regarding groin node dissection, BGND that removed both superficial and deep groin nodes was the most frequent procedure in our patients.
Adjuvant treatment with radiation after radical vulvectomy and BGND has proven to significantly reduce local relapse and decreased cancer-related deaths from GOG 37 study in patients with positive groin nodes [22].
In some cases, BGND was performed to remove the positive groin nodes before giving radiation which had been proven from GOG 37 to show benefits as mentioned above [23].