Treatment

Stages I-II

Radical vulvectomy and lymphadenectomy (wide local excision is sometimes possible for certain small lesions < 1 cm)

Stages III-IV

As above, plus removal of affected organs and adjunct radiation therapy

VAGINAL CANCER

Vaginal cancer is a rare gynecologic malignancy (2% of gynecologic cancers).

Usually presents in postmenopausal women

Most common type is squamous cell carcinoma (others types are the same as vulvar cancer types).

Signs and Symptoms

Ulcerated mass Exophytic mass Bleeding Asymptomatic

Adenocarcinoma of the vagina often correlates with in utero diethylstilbestrol exposure; these patients often present young.

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