3: Cancer Staging (TNM/FIGO) for Vulvar Cancers

Question 1

With positive nodes with extracapsular spread.

Answer 1

3C

Question 2

Tumor confined to original area.

Answer 2

I

Question 3

Any distant metastasis including pelvic lymph nodes.

Answer 3

4B

Question 4

• Lesions >2 cm in size.
• Confined to original site with stromal invasion >1 mm confined to vulva or perineum.
• Negative nodes.

Answer 4

1B

Question 5

Tumor invades other regional (upper 2/3 of urethra, upper 2/3 of vagina) or distant sites.

Answer 5

4

Question 6

• With 2+ lymph node metastasis >5 mm

or

• 3+ mode metastasis <5 mm

Answer 6

3B

Question 7

• With 1 lymph node metastasis >5 mm

or

• 1-2 mode metastasis <5 mm

Answer 7

3A

Question 8

• Tumor of any size with extension to adjacent structures (lower third of urethra, lower third of vagina, anus).
• Negative nodes.

Answer 8

2

Question 9

Identifies whether the cancer has spread to distant areas in the body (e.g., from the vulva to the lungs) by vascular or lymphatic channels.

Answer 9

M

Question 10

Tumor invades any of the following:

• Upper urethral and / or vaginal mucosa
• Bladder mucosa
• Rectal mucosa
• Fixed pelvic bone
• Fixed or ulcerated inguinofemoral lymph nodes

Answer 10

4A

Question 11

• Lesions <2 cm in size.
• Confined to original site with stromal invasion <1 mm.
• No nodal metastisis.

Answer 11

1A

Question 12

• Tumor of any size with or without extension to adjacent structures (lower third of urethra, lower third of vagina, anus).
• Positive inguinofemoral nodes.

Answer 12

3

Question 13

Describes the primary tumor according to its size and location.

Answer 13

T

Question 14

Refers to the extent of cancer in the regional lymph nodes that drain fluid from the area of the tumor.

Answer 14

N