Vulval Cancer Flashcards

1
Q

Symptoms of vulva cancer?

A

Pain
Itch
Bleeding
Lump/ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which age group are more likely to get vulva cancer?

A

Older age, 75% > 60

->however, age can range from late twenties until late nineties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk factors of vulva cancer?

A

Intraepithelial neoplasia or cancer at other lower genital tract site
Lichen sclerosis
Smoking
Immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two different pathways of vulva cancer?

A

HPV related
Non-HPV related

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Who would be more likely to develop HPV related vulva cancer?

A

Younger women
Immunosuppressed

-?older women tend to have non-HPV related vulva cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

HPV related vulva cancer can be multizonal. What does this mean?

A

Can affect other anatomical sites such as vagina, perianal skin, anal mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a pre-disposing factor for non-HPV related vulva cancer?

A

Lichen scleorosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Stage 1 of vulva cancer?

A

<2cm size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Stage 2 of vulva cancer?

A

> 2cm size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Stage 3 of vulva cancer?

A

Local spread, risk of infecting lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Stage 4 of vulva cancer?

A

Distant metastasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which types of biopsy may be done for diagnosis of vulva cancer?

A

Punch biopsy
Excisional biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Treatment of vulva cancer?

A

Surgery- local excision, unilateral or bilateral node dissection
Radiotherapy/chemotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Groin node dissection allows for staging and removal of nodal disease. In a groin node dissection, which nodes are removed?

A

Inguinal and upper femoral nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some of the complications of groin wound dissection?

A

Wound infection
Lymphocysts
Nerve damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Prognosis of vulva cancer?

A

Good, even stage 4 has 50% survival rate

17
Q
A