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In squamous cell vulvar carcinoma the prognostic depends on the presence of regional lymph node metastases. Inguinal and femoral lymph node dissection represents one of the most important factors which might increase the overall survival. We present the case of a 73 years old patient diagnosed with squamous cell vulvar carcinoma and bilateral inguinal adenopathies in whom a vulvectomy and bilateral inguinal lymph node dissection were performed. The histopathological findings confirmed the presence of a moderta differentiated squamous cell carcinoma with multiple lymph node metastases. Then the patient was addressed to the Oncology Clinic for adjuvant radiation therapy. [ABSTRACT FROM AUTHOR]