Vulval

Question 1

Vulval
Stage 1

Answer 1

Carcinoma strictly confined to vulva

Question 2

Vulval
Stage 1a

Answer 2

Confined to vulva
Tumour size ≤ 2cm
& stromal invasion ≤ 1mm

Question 3

Vulval
Stage 1b

Answer 3

Confined to vulva
Tumour size > 2cm
Or stromal invasion > 1mm

Question 4

Vulval
Stage 2

Answer 4

Extends to adjacent structures:
Lower 1/3 urethra
Lower 1/3 vagina
Lower 1/3 anus
Negative nodes

Question 5

Vulval
Stage 3

Answer 5

Upper part of perineal structures
Or any non-fixed, non-ulcerated nodes

Question 6

Vulval
Stage 3a

Answer 6

Upper 2/3 urethra
Upper 2/3 vagina
Bladder mucosa
Rectal mucosa
Lymph nodes ≤ 5mm

Question 7

Vulval
Stage 3b

Answer 7

Regional lymph nodes > 5mm
(inguinal or femoral)

Question 8

Vulval
Stage 3c

Answer 8

Regional lymph nodes
(inguinal & femoral)
With extracapsular spread

Question 9

Vulval
Stage 4

Answer 9

Tumour fixed to bone
Or ulcerated lymph nodes
Or distant mets

Question 10

Vulval
Stage 4a

Answer 10

Fixed to bone
Or fixed or ulcerated nodes

Question 11

Vulval
Stage 4b

Answer 11

Distant mets