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Gynaecology > Vulval Cancer > Flashcards

Vulval Cancer Flashcards

1
Q

What is the most common type of vulval cancer?

A

Squamous cell carcinoma

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2
Q

What is the presentation of vulval cancer?

A

Lump with or without lymphadenopathy
Itching
Non-healing ulcer
Vulval pain
Bleeding
Changes to vulval skin

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3
Q

Where does vulval cancer most commonly affect?

A

Labia majora

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4
Q

What are the risk factors for vulval cancer?

A

Advanced age
Immunosuppression
HPV infection
Lichen sclerosis

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5
Q

What is the pre-malignant condition of vulval cancer?

A

Vulval intraepithelial neoplasia

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6
Q

What are the treatment options for VIN?

A

Watch and wait
Excision of lesion
Imiquimod cream
Laser ablation

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7
Q

What is the definitive investigation for vulval cancer?

A

Examination of vulva and 2 week urgent referral
Biopsy

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8
Q

What further investigations will be performed once vulval cancer is diagnosed?

A

Sentinel node biopsy to determine lymph node involvement
CT abdo pelvis for staging

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9
Q

What is the treatment of vulval cancer?

A

Wide local excision
Groin lymph node dissection
Chemotherapy
Radiotherapy

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Gynaecology (27 decks)

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