Cancer Vulva (outdoor genital organs) is
The most rare localization of malignant female genital tumors
organNov. The frequency of the disease is 2.2-8%, it is more commonly found
women older than 60 years. Although the cancer of the outdoor genital organs can be noticed
Visually, most patients come to hospital with late
Stages of the disease. The first place on the localization of cancer is occupied by large
sex lips and clit, second - small sex lips, third -
Bartoline glands and urinationChannel.
Select an exofic form when cancer tumor
It has the form of a nodule towering over the surface; endophyte - S
aboutthe disclosure of crater ulcers with dense edges; diffuse form -
Tight diffuse infiltrate.
Cancer Vulva has a pronounced malignant in view of the richDenno
Areas of lymph nodes and a special structure of the lymphatic system.
The 4 stages of the distribution of Cancer Vulva are distinguished:
- I Stage - tumor up to 2 cm in diameter, limited to vulva;
- II Stage - a tumor of more than 2 cm in diameter, limited to the vulva;
- III Stage - a tumor of any size propagating the vagina and / or on
The lower third of the urethra and / or anus. There are metastases in the inguinal femur
The lymph nodes;
- IV Stage - a tumor of any extent of distribution with distantMetastasami.
According to the histological structure of Cancer Vulva can be
flatCellular oroging (90%), non-peer,
Basal cell, adenocarcinoma, melanoblastoma.
Diagnosis of cancer vulva
Consider complaints of a painful tumor in the crotch area,
purulent or bleeding, irritation or itching vulva. At
germination of the tumor to the fabrics (on far stages)
Persons in the sacrum are joined, the difficulty is urinaryKania, Cakexia.
Generally accepted and affordable diagnosis of vulva cancer is
gynecological study that should be started with inspection
external genital organs (better through a magnifying glass). Tumor can be in the form
Bugland expanding, bleeding whencosnow
Dense node, flat ulcers with uneven bottom and rolling edges
Or graduating type Condyl. PUthose palpation determine the consistency
tumors, its attitude to the subject to the tissues, the prevalence of the process.
Inspection with the help of mirrors allows you to estimate the state of the slickToy
The shell of vagina and cervix, rectovaginal researchDoves -
find out the condition of the parameter fiber.
Of great importance for the diagnosis of Cancer Vulva has cytoloGreat
Study of strokes-prints from the surface of the ulceMaskov and Maskov,
Cooked out of scraping with suspicious teachingOutlets mucous
To clarify the diagnosis and definition of the morphological structureTours tumors
Biopsy is recommended with subsequent histologistsClear research. For
the right choice of the biopsy site whenChange colposcopy, voluminous.
In case of Crak, the vulva is suitable for lymphography to determineNia
state of outer iliac lymph nodes. To identify
The states of the surrounding organs use cystoskoFood, excretory
Urography, RectorOnoscopy, X-rayChest Fiya.
Treatment of cancer vulva
The choice of the treatment method depends on the stage
Process, Clniche, age and general condition of the patient. At
I-i-III stages of the disease and the overall good conditionNyyut
Combined treatment method: extended removal of vulYou and Pakhovyov
Lymph nodes. 2-3 weeks after the operation assign radiation
Therapy (X-ray rays or radioTive isotopes). Radius
Therapy as an independent treatment method together with chemotherapy
(cyclophosphane, bleomycin, olivomycin) are used in patients with I-III
Stages when passingconguments to surgical treatment, as well as
patients with IV stage of the disease.
Forecast for Cancer Vulva depends on how longthe treatment was started and how correctly it isMoose.
Prevention is based on timely detection and adeccotton treated background and precancerous processes vulva.