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Staging of vulval cancer

Authoring team

Stage

  • 0 - carcinoma in situ

  • I - confined to vulva +/- perineum; less than 2 cm in greatest diameter

  • II - as I but more than 2 cm in greatest diameter

  • III - adjacent spread to urethra +/- vagina +/- anus; unilateral regional lymph node metastases

  • IVa - invasion of upper urethra or bladder mucosa or rectal mucosa or pelvic bone; +/- bilateral regional lymph node metastasis

  • IVb - any distant metastasis

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