Primary vulval cancer is a rare gynaecological malignancy that originates from the vulva.
It accounts for ~3-5% of female genital tract melignancies and typically presents in post menopausal patients peaking around the the age of 65-70 years of age 1.
The commonest histological type by far is squamous cell carcinoma which account of ~80-85% of cases 1. The tumour commonly involves the labia majora and minora.
- vulval intra-epithelial neoplasia: considered a pre-cancerous condition
Particularly useful in accurately assessing the size (up to ~80 accurate 3) of vulval lesion and assessing groin lymph node metastasis
Signal characterisitcs include:
- T1: low 4 to intermediate 1 signal
- T2: typically intermediate 4 to high 1 signal
The FIGO staging system is commonly adopted: See vulval cancer staging
Considerations (particularly when lesions are large) include:
- 1. Gourtsoyiannis N. Clinical MRI of the Abdomen, Why, How, When. Springer Verlag. (2011) ISBN:3540856889. Read it at Google Books - Find it at Amazon
- 2. Abang mohammed DK, Uberoi R, De b lopes A et-al. Inguinal node status by ultrasound in vulva cancer. Gynecol. Oncol. 2000;77 (1): 93-6. doi:10.1006/gyno.1999.5702 - Pubmed citation
- 3. Kataoka MY, Sala E, Baldwin P et-al. The accuracy of magnetic resonance imaging in staging of vulvar cancer: a retrospective multi-centre study. Gynecol. Oncol. 2010;117 (1): 82-7. doi:10.1016/j.ygyno.2009.12.017 - Pubmed citation
- 4. Sohaib SA, Richards PS, Ind T et-al. MR imaging of carcinoma of the vulva. AJR Am J Roentgenol. 2002;178 (2): 373-7. AJR Am J Roentgenol (full text) - Pubmed citation