Vulval cancer Flashcards
1
Q
Types of vulval cancers
A
- squamous carcinoma
- melanoma
- adenocarcinomas
- basal cell carcinoma
- sarcoma
2
Q
2 ways that vulval cancer happens
A
- in younger patients, multifocal, assoc with HPV and smoking
- in older patients, unifocal, from differentiated VIN, adjacent to LS and squamous hyperplasia
3
Q
Clinical presentation of vulval cancers
A
- asymptomatic
- pruritis
- pain
- lump
- bleeding
4
Q
How to diagnose vulval cancer
A
- punch biopsy
- incision or excision biopsy
5
Q
How can vulval cancer spread?
A
- direct extension
- lymphatic spread
- haematogenous
6
Q
Figo staging of vulval cancer
A
1: confined to vulva
2: extension to perineal structures with no nodes
3: positive inguino-femoral nodes
4: invades other regional or distant structures
7
Q
Treatment of vulval cancer
A
Surgery: radical wide local excision or radical vulvectomy
- bilateral groin node dissection
Radiotherapy for postitive groin nodes
