Vulval cancer Flashcards
1
Q
risk factors?
A
- advancing age
- HPV
- Lichen sclerosus
2
Q
what can it be preceded by?
A
VIN
- ‘usual’ type - associated w HPV infection
- ‘differentiated’ type- associated w lichen sclerosus
3
Q
presentation?
A
- pain
- itching
- bleeding
- discharging
- vulval/vaginal lesion
- inguinal lymphadenopathy
4
Q
Ix?
A
- incisional biopsy
- sentinel lymph node biopsy
5
Q
Mx?
A
wide local excision +/- groin lymph node dissection
- 2ww referral if seen in primary care