Vulva Ca

Question 1

Stage 1A disease

Answer 1

<2cm tumour size and <1mm depth stromal invasion

Question 2

Stage IB disease

Answer 2

> 2cm tumour size OR stromal invasion >1mm

Question 3

Stage II disease

Answer 3

Extension to adjacent structures but no lymph node involvement
(Lower third vagina/urethra/anus)

Question 4

Stage IIIA disease

Answer 4

Any size tumour with extension to upper 2/3 vagina/urethra, bladder mucosa, rectal mucosa or regional lymph node mets <5mm (non fixed, non-ulcerated)

Question 5

Stage IIIB disease

Answer 5

Regional lymph node >5mm

Question 6

Stage IIIC disease

Answer 6

Regional lymph node mets with extracapsular spread

Question 7

Stage IVA disease

Answer 7

Disease fixed to pelvic bone OR
Fixed ulcerated regional lymph node mets

Question 8

Stage IVB disease

Answer 8

Distant mets

Question 9

What percentage of women with operable disease have nodal spread?

Answer 9

30%

Question 10

If sentinel lymph node biopsy is positive then proceed to ____

Answer 10

Bilateral pelvic lymphadenectomy

Question 11

Commonest cause of vulva Ca

Answer 11

Lichen sclerosis
Then HPV 16