Malignant Vulval Lesions

Question 1

FIGO staging of squamous cancer of the vulva:

Answer 1

Stage I
-Tumour confines to the vulva

Stage II

• Tumour of any size
• with extension to adjacent perineal structures
• Negative nodes

Stage III

• Tumour of any size
• with or without extension
• With positive nodes

Stage IV
-Tumour invades other regional or distant structures

Question 2

What is the Mx of primary lesion of squamous cancer of the vulva? (tertiary level)

Answer 2

Gold Standard:
-Radical wide local excision of tumour
or
-Radical vulvectomy

and
-Inguinofemoral node dissection or
Sentinel node procedure

Alternative:
Radical Primary Chemoradiation.

Question 3

What do you do in a primary level if squamous cell carcinoma of the vulva is seen?

Answer 3

• Do a incision biopsy

- Refer for a metastatic work-up