Squamous lesions tend to arise in a single site and occur most commonly in the vestibule.[9] They grow by local extension and spread via the local lymph system. The lymphatics of the labia drain to the upper vulva and mons, then to both superficial and deep inguinal and femoral lymph nodes. The last deep femoral node is called the Cloquet’s node.[9] Spread beyond this node reaches the lymph nodes of the pelvis.