<prompt> A 28 year old woman diagnosed with vulvar carcinoma. The lesion is on right labia, away from midline and measures 3 cm with stromal invasion of 2mm with no inguinal lymph nodes. Treatment is?Wide local excisionRadical local excision with 1 cm tumor free margin with ipsilateral lymph node dissectionRadical local excision with 1 cm tumor free margin with bilateral lymph node dissectionRadical local excision without LN dissection  <response>: VULVAL CARCINOMA: STAGING AND MANAGEMENT STAGE 1 1A Limited to vulvaperineumSize2cm stromal invasion 1mm Wide local excision 1B Size 2cm stromal invasion 1mm Radical local excision plusBL LAD: central lesionUL LAD: lateral lesion 2cm from midline STAGE 2 Any sizeSpreads to lower 13 urethra, lower 13 vagina, anus Early: radical excision radical vulvectomy plus BL LADAdvanced: radiation surgery LAD STAGE 3 Positive inguinofemoral lymph nodes Radiation surgery LAD STAGE 4 A 4B Upper urethra, upper vagina, bladder, rectum, pelvis side wallDistant metastasis, Pelvic or other lymph nodes Radiation surgery LAD LAD lymphadenectomy This is stage iB tumour size 2 cm with stromal invasion 1mm and no nodal involvement The lesion is lateral, not involving midline structures like clitoris or urethra Treatment of this stage is radical local excision with a tumor free margin of 1 cm with ipsilateral lymph node dissection. Bilateral lymph node dissection is done when midline structures are involved. 