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Vulval cancer staging

The staging system for primary vulval cancer is the FIGO staging system and is as follows

  • stage 0 : carcinoma in situ (pre invasive) : corresponds to Tis
  • stage I : tumour less than 2cm (greatest dimension) and confined to vulva / perineum : corresponds to T1
    • stage Ia : stromal invasion by < 1 mm
    • Stage Ib : stromal invsions by > 1 mm
  • stage II : tumours greater than 2cm but confined to vulva : corresponds to T2
  • stage III : any size with invasion of  lower urethra, vagina, perineum, anus : correspinds to T3
  • stage IV : bladder / rectal invastion, fixation to bone and / or metastases
    • stage IVa : invasion of bladder, upper urethra and rectal mucosa and  / or fixation to bone : corresponds to T4
    • stage IVb : distant metastases including pelvic lymph node metastases

See also

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