Vulvar and Vaginal Cancers Flashcards
1
Q
How is vulvar cancer different to vulvar dysplasia?
A
Dysplasia refers to abnormally differentiated cells contained entirely within the epithelium - above the basal membrane. Violation of the BM indicates invasiveness and therefore cancer
2
Q
What are the most common cancers of the vulva?
A
-epidermoid squamous
-melanoma
-undifferentiated
-sarcoma
Also Adenocarcinoma and Bartholin’s gland cancer (rare)
3
Q
RFx vulvar cancer?
A
- Advanced age
- Hx dysplasia vulva
- Low SES
- Smoking
4
Q
Sx vulvar cancer?
A
-Itch
-Palpable mass
Pain, bleeding, ulceration, dysuria also possible.
5
Q
DIagnosis of vulvar cancer?
A
Bx
6
Q
How does vulvar caner spread?
A
Lymphatics. Indolent growth followed by met
7
Q
Most common first met site of vulvar cancer? Later spread?
A
Superficial inguinal nodes. Then
through fossa ovalis to deep femoral nodes then iliac chains.
