Vulva cancer

Description:

Vulva cancer - a malignant epithelial tumor of outside female generative organs.

Vulva Cancer symptoms:

Allocate an exophytic form when the cancer tumor has an appearance of the small knot towering over a surface; endophytic - with formation of the crateriform ulcer with dense edges; a diffusion form - dense diffusion infiltrate.

Cancer of a vulva has the expressed zlokachestvennost in view of richness of this area lymph nodes and a special structure of lymphatic system.

Distinguish 4 stages of spread of cancer of vulva:

  1. The I stage - a tumor to 2 cm in the diameter, is limited to a vulva;
  2. The II stage - a tumor more than 2 cm in the diameter, is limited to a vulva;
  3. The III stage - the tumor of any size extending to a vagina and/or to the lower third of an urethra and/or to an anus. There are metastasises in inguinofemoral lymph nodes;
  4. The IV stage - a tumor of any extent of distribution with the remote metastasises.

Clinic and diagnosis of cancer of vulva. Patients can show complaints to a painful tumor in a crotch, purulent or bloody discharges, irritation or an itch of a vulva. At germination of a tumor in the subject fabrics (at far come stages) pains in a sacrum, difficulty of an urination, a cachexia join.

The standard and available diagnostic method of cancer of vulva is the gynecologic research which should be begun with survey of external genitals (better through a magnifying glass). The tumor can be in the form of the hilly growth bleeding at a touch in the form of a dense node, a flat ulcer with an uneven bottom and valikoobrazny edges or growths like condylomas. By a palpation define a tumor consistence, its relation to the subject fabrics, prevalence of process.

Survey by means of mirrors allows to estimate a condition of a mucous membrane of a vagina and neck of uterus, a rectovaginal research - to find out a condition of a parametric fat.

The cytologic research of smears prints from a surface of the ulcerations and smears prepared from scrapings from suspicious sites of a mucous membrane is of great importance for diagnosis of cancer of vulva.

For specification of the diagnosis and definition of morphological structure of a tumor the biopsy with the subsequent histologic research is recommended. Apply a kolposkopiya, a vulvoskopiya to a right choice of the place of a biopsy.

At cancer of a vulva the limfografiya for the purpose of definition of a condition of outside ileal lymph nodes is reasonable. For identification of a condition of surrounding bodies use a tsistoskopiya, excretory urography, a rektoromanoskopiya, a thorax X-ray analysis.

Vulva Cancer reasons:

Probable cause of VPCh 16 of type. The long persistention of a virus leads to emergence of the centers of a leukoplakia against the background of which, the centers of planocellular cancer develop.

Cancer therapy of a vulva:

The choice of a method of treatment depends on a stage of process, a clinical form, age and the general condition of the patient. At the I-III stages of a disease and the general good shape of the patient apply the combined treatment method: expanded removal of a vulva and inguinal lymph nodes. In 2-3 weeks after operation znachat radiation therapy (X-ray or radioactive isotopes). Radiation therapy as an independent method of treatment together with chemotherapy (Cyclophosphanum, Bleomycinum, ливомицин) are used at patients with the I-III stages at protipokazaniye to surgical treatment, and also patients with the IV madia have diseases.