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Histopathological work‐up and interpretation of sentinel lymph nodes removed for vulvar squamous cell carcinoma

Aims: To evaluate the work‐up of sentinel lymph nodes (SLNs) removed for vulvar pT1–pT2 squamous cell carcinoma (SCC). Inguinal lymphadenectomy yields metastases in only 30% of cases. Patients with missed inguinal disease, however, have a risk of dying from systemic disease. SLN dissections reduce morbidity, but work‐up should reliably identify metastatic disease.