Vulval cancer Flashcards

(11 cards)

1
Q

What is the main type of vulval cancer?

A

Squamous cell carcinomas

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2
Q

What are the risk factors for vulval cancer?

A
  • Advanced age (part over 75)
  • Immunosuppression
  • HPV 16 and 18
  • Smoking
  • Lichen sclerosus - 5% of women get vulval cancer
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3
Q

What is vulval intraepithelial neoplasia?

A

A precancerous condition affecting squamous epithelium of the vulva which can precede vulval cancer

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4
Q

What is the type of VIN associated with HPV infection?

A

High grade squamous intraepithelial lesion

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5
Q

What is differentiated VIN?

A

Alternative type of VIN associated with lichen sclerosus

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6
Q

What are management options for VIN?

A
  • Watch & wait with close follow up
  • Wide local excision
  • Imiquimod cream
  • Laser ablation
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7
Q

How does vulval cancer present?

A
  • Vulval lump
  • Itching
  • Inguinal Lymphadenopathy in the groin
  • Ulceration
  • Bleeding
  • Pain
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8
Q

Where does vulval cancer most frequently affect?

A

Labia majora giving an appearance of irregular mass, lesion, ulceration & bleeding

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9
Q

How do you establish diagnosis of vulval cancer?

A
  • Biopsy - punch or excisional
  • Sentinel node biopsy
  • Further imaging for staging
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10
Q

What staging is used to stage vulval cancer?

A

FIGO

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11
Q

What is the management for vulval cancer?

A
  • Wide local excision to remove the cancer
  • Groin lymph node dissection
  • Chemotherapy
  • Radiotherapy
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