Wednesday, 20 June 2012

32.STAGE 2 OF CA VULVA

A.>2CM LIMITED TO VULVA
B.DISTAL METASTASIS
C.DISTAL URETHRAL INVOLVEMENT WITHOUT NODE
D.UPPER URETHRA,RECTAL AND BLADDER MUCOSA WITHOUT NODES

ANS:DISATAL URETHRAL INVOLVEMENT WITHOUT NODES


FIGO staging for Ca vulva


Carcinoma of the Vulva

IA         Tumor confined to the vulva or perineum, ≤ 2cm in size with stromal invasion ≤ 1mm, negative nodes
IB         Tumor confined to the vulva or perineum, > 2cm in size or with stromal invasion > 1mm, negative nodes
II          Tumor of any size with adjacent spread (1/3 lower urethra, 1/3 lower vagina, anus), negative nodes
IIIA      Tumor of any size with positive inguino-femoral lymph nodes
            (i) 1 lymph node metastasis greater than or equal to 5 mm
            (ii) 1-2 lymph node metastasis(es) of less than 5 mm
IIIB      (i) 2 or more lymph nodes metastases greater than or equal to 5 mm
          (ii) 3 or more lymph nodes metastases less than 5 mm
IIIC      Positive node(s) with extracapsular spread
IVA       (i) Tumor invades other regional structures (2/3 upper urethra, 2/3 upper vagina), bladder mucosa, rectal mucosa, or fixed to pelvic bone
            (ii) Fixed or ulcerated inguino-femoral lymph nodes
IVB       Any distant metastasis including pelvic lymph nodes

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