For lesions that are clearly on one side of the vulva, a radical local excision with a complete groin node dissection on the same side is performed.
    For other Stage I cancers involving the skin between the vaginal opening or the anus or clitoris, a radical vulvectomy and groin lymph node dissection on both sides is performed.

Five-Year Survival  Over 90 percent
 
Investigational  Conservative surgery. 
• Treatment with radiation therapy with or without chemotherapy (5-FU + mitomycin-C + cisplatin).

Stage II
TNM T2, N0, M0 
The tumor is confined to the vulva and/or perineum and is more than 3/4 in. (2 cm) in diameter but has not spread to lymph nodes .

Standard Treatment  Radical vulvectomy with removal of the groin lymph nodes on both sides.