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. 2019 Jul 16;79(10):1060–1078. doi: 10.1055/a-0919-4959
Consensus-based Statement 9.S13
Expert consensus Strength of consensus +++
Because the correlation between tumor location and the direction of lymphatic flow is not clear due to extensive lymphatic anastomosis in the vagina and lesser pelvis, it is not possible in individual cases to clearly link the vaginal tumor site with the direction of lymphatic flow.