Malignancy Flashcards
Describe the arterial supply to the vulva
Internal pudendal (internal iliac) and external pudendal (femoral) arteries
Describe the lymphatic drainage of the vulva
Superficial inguinal -> deep inguinal -> external iliac -> paraaortic
Describe the nerve supply of the vulva
Pudendal, ilioinguinal and genitofemoral
Describe the staging of vulvar cancer
1: confined to vulva/perineum
a. <2cm and <1mm invasion
b. >2cm or >1mm invasion
2: adjacent spread to lower urethra/vagina/anus, no LNs
3. deeper invasion and LNs
a. <5mm LNs
b. >5mm LNs
c. Extracapsular spread
4. fixed to bone, ulcerated LNs or distant mets
Describe the anterior, posterior and lateral relations of the vagina
Ant: urethra, bladder
Post: rectum, Pouch of Douglas
Lateral: levator ani, pelvic fascia, ureters
Describe the arterial supply of the vagina
Vaginal and uterine arteries
Describe the nerve supply of the vagina
Lower: pudendal
Upper: SNS and PNS via inf hypogastric plexus
Describe the lymphatic drainage of the vagina
Lower: superficial inguinal
Middle+upper: internal and external iliacs
What is the incidence of vulvar cancer?
3/100,000
What is the survival rates of vulvar cancer?
What is the lifetime risk of cervical cancer? Incidene? In which group is the highest incidence?
1/140 UK
3-5/100,000
30-34s
What is the lifetime risk of endometrial cancer? Incidence?
3% of women
25/100,000
What is the incidence of ovarian cancer?
22/100,000
What is the incidence of breast cancer? Lifetime risk?
2-3/10,000
12.5% or 1/8 lifetime risk
Describe the 5 year survival for ovarian cancer
45% overall
I: 90%
II: 70%
III: 25%
IV: 15%
