between 1980 and 1988 , 13 patients with stage iii and 3 with stage iv vulvar carcinoma involving the rectum/anus , urethra , or vagina were treated with 4000 rad to the vulva and 4500 rad to the inguinal and pelvic nodes followed by a radical vulvectomy and inguinal lymphadenectomy 4 weeks later .
C0677055
vulvar carcinoma
C0042993
vulva