Primary vulval cancer

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.

Risk factors
MRI

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
Staging

The FIGO staging system is commonly adopted: See vulval cancer staging

Considerations (particularly when lesions are large) include:

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Article Information

rID: 14489
System: Gynaecology
Tag: cases
Synonyms or Alternate Spellings:
  • Cancer of the vulva
  • Carcinoma of the vulva
  • Vulval carcinoma
  • Vulval cancer

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