Page 4 - Vulvar Cancer Guidelines Summary fxd
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DIAGNOSIS AND REFERRAL
✓ In any patient suspected for vulvar cancer, diagnosis should be established by a punch/incision
biopsy. Excision biopsy should be avoided for initial diagnosis, as this may obstruct further
treatment planning.
✓ In patients with multiple vulvar lesions, all lesions should be biopsied separately (with clear
documentation of mapping).
✓ All patients with vulvar cancer should be referred to a Gynaecological Oncology Centre (GOC)
and treated by a multidisciplinary gynaecological oncology team.
STAGING SYSTEM
✓ Vulvar cancer should be staged according to FIGO and/or TNM classification2.
2 Throughout these recommendations, advanced stage of disease is defined as clinical T3 and/or N3.
4 • VULVAR CANCER - GUIDELINES •
