Does a groin node dissection in vulvar cancer affect groin recurrence and overall survival?: Results from a population-based cohort study

There was no significant difference in groin recurrence or overall survival in those with or without GND in this population-based cohort, raising questions whether a subgroup of patients may not benefit from GND. Patients had a higher probability of dying before groin recurrence could occur. Future trial design should consider death as a competing risk.