Staging of vulval cancer
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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