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Data about these drugs are scarce in recurrent disease not amenable to surgery or radiotherapy. I had a lot of lymph nodes removed from both groins. In SLNB, only the lymph nodes that the tumor area drains to are removed, limiting the damage done to the lymph system. Stage 0 carcinoma in situ Left untreated will likely progress to invasive vulvar cancer. Another eight responses two CRs were observed in the group of patients with irresectable disease who did not receive any other treatment yet [ 7 ].