Bilateral inguinal lymph node metastasis of vulvar cancer is a more serious case, which is usually treated to improve patients’ quality of life and prolong the survival cycle. Vulvar cancer belongs to the malignant tumors of female reproductive system, which usually occurs in menopausal women, and the incidence rate is on the rise with the increase of age. For vulvar cancer patients who have already developed metastasis, there is generally no way to cure them completely, but patients should cooperate with the treatment as soon as possible, and improve the prognosis through surgery, radiotherapy and other treatments. Vulvar cancer patients need to build up confidence in overcoming cancer, actively cooperate with doctors in treatment, and at the same time, have regular follow-up examinations to know their own situation.