Lecture 25 Vulval Cancer CPC Flashcards
Name symptoms of vulva cancer
Pain
Itch
Bleeding
Lump/Ulcer
What are the risk factors of vulval cancer
Intraepithelial neoplasia or cancer at other lower genital tract site
Lichen sclerosus
Smoking
Immunosuppression
Describe HPV related vulval cancer
Younger women Multifocal Multizonal Immunosuppression Usual type (aka classical / warty)
Describe non-HPV related vulval cancer
Lichen sclerosus
Older women
Differentiated VIN
What is the size and nodal involvement in Stage 1
<2cm no nodal involvement
What is the size and nodal involvement in Stage 2
> 2cm no nodal involvement
What is the size and nodal involvement in Stage 3
Local spread
Unilateral nodes
What is the size and nodal involvement in Stage 4
Distant or advanced local spread
Pelvic nodes
What is Vulvar Intraepithelial Neoplasia
Abnormal proliferation of squamous cell epithelium