Squamous vulval cancer–an update
- Squamous vulval cancer is a rare condition with a poorly understood aetiology. Two factors seem to have an important role; infection with human papilloma virus leading to vulva intraepithelial neoplasia and chronic inflammatory vulval dermatoses such as lichen sclerosus.
- Diagnosis based on biopsy and management is complex. Consideration is given to site and size of lesion as well as the FIGO staging system.
- Depending on the stage of cancer, other treatment modalities such as chemoradiation may play a role in the management of the condition.
- To know how to perform an incisional biopsy of a suspicious vulval lesion.
- To acknowledge that incisional biopsy is the preferred mode of diagnosis for vulval cancer and appreciate that the role of wide local excision is limited.
- To be aware of the use of sentinel node biopsy in the management of vulval cancer.
- To understand that reconstructive surgery has an important place in the management of these patients.
- How can health professionals help women cope with the psychosexual sequelae after vulval surgery?