Yes, the tumor board met and they have invited me back to the operating room -- isn't that nice? This time it will be a partial radical vulvectomy with removal of lymph nodes. Being a second surgery (within a short period of time) it's the only way to determine the status of the lymph nodes for sure. SLB is off the table when it is a second surgery. SLB is part of surgery when malignancy shows on biopsy (which was not the case here). They were as surprised as I was at the pathology (btw, it was the same way with the breast cancer as I recall). I may very well need further therapies, but they won't stage it until the second surgery/pathology is in. Right now it is 1B.