Vulval CA Flashcards
IA
<2cm, stromal invasion <1mm
Confined to vulva/perineum
No nodal mets
IB
> 2cm
Confined to vulva/perineum
Stromal invasion >1mm
No nodal mets
II
Any size
Extension to adjacent perineal structures (1/3 lower vagina, 1/3 lower urethra, anus)
Negative nodes
III
Any size
Extension to adjacent perineal structures (1/3 lower vagina, 1/3 lower urethra, anus)
Positive nodes
IIIA
LN met >5mm or 1-2 LN <5mm
IIIB
2 LN >5mm or 3 LN <5mm
IIIC
Positive nodes with extra capsular spread
IV
Invades other regional sites (2/3 upper urehtra, 2/3 upper vagina) or distant mets
IVA
Upper urethra and/or upper vaginal mucosa, bladder mucosa, rectal mucosa or fixed/ulcerated inguino-femoral LN
IVB
Any distant mets