FIGO vulvar cancer

Question 1

List grossly what each 4 stages of vulvar cancers involve

Answer 1

I - tumour confined to vulvar
II - spread to lower 1/3 of; urethra, vagina or anus with negative LN
III - spread to upper part of surrounding structures; urethra, vagina or anus with any number of non fixed, non ulcerated LN
IV - fixed to bone or surrounding structure, ulcerated LN metastases, distant metasases

Question 2

Stage Ia

Answer 2

tumour size <2cm
stromal invasion <1mm

Question 3

Stage Ib

Answer 3

tumour size >2cm
stromal invasion >1mm

Question 4

Stage 3a

Answer 4

tumour of any size with extension into upper 2/3 of; urethra, vagina or anus or regional lymph node mestastases <5mm

Question 5

3b

Answer 5

regional lymph node metasases >5mm

Question 6

3c

Answer 6

Regional lymph node metastases with extra capsular spread

Question 7

4a

Answer 7

disease fixed to pelvic bone
fixed or ulcerated regional lymph node metastases

Question 8

4b

Answer 8

distant metastases