Gynae oncologyFree in the app
Vulval cancer — treatment
Wide excision plus groin assessment.
Source: ESGO 2023 · GROINSS-V| IA (≤2 cm, ≤1 mm invasion) | Wide local excision only. |
|---|---|
| Unifocal, below 4 cm, normal groins | Sentinel node biopsy (one side if 1 cm or more from midline). |
| Sentinel node ≤2 mm metastasis | Groin radiotherapy instead of lymphadenectomy. |
| Sentinel node above 2 mm | Inguinofemoral lymphadenectomy plus chemoradiation. |
| 4 cm or more, multifocal, or suspicious nodes | Inguinofemoral lymphadenectomy via separate incisions. |
| Locally advanced | Chemoradiation with weekly cisplatin. |
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