vulva anatomic sites and subsites of the vulva. compton, c.c., byrd, d.r., et al., editors. ajcc...
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![Page 1: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/1.jpg)
Vulva
Anatomic sites and subsites of the vulva.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 2: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/2.jpg)
Vulva
Regional lymph nodes of the vulva.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 3: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/3.jpg)
Vulva
T1a is defined as lesions 2 cm or less in size, confined to the vulva or perineum and with stromal invasion 1.0 mm or less.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 4: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/4.jpg)
Vulva
(A) “(A) T1a is defined as lesions 2 cm or less in size, confined to the vulva or perineum and with stromal invasion 1.0 mm or less. (B) T1b is defined as lesions more than 2 cm in size or any size with stromal
invasion more than 1.0 mm, confined to the vulva or perineum
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 5: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/5.jpg)
Vulva
T1b is defined as lesions more than 2 cm in size or any size with stromal invasion more than 1.0 mm, confined to the vulva or perineum
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 6: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/6.jpg)
Vulva
T2 is defined as tumor of any size with extension to adjacent perineal structures (lower/distal third of urethra, lower/distal third of vagina, anal involvement).
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 7: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/7.jpg)
Vulva
Cross-sectional diagram showing spread of tumor into anus, lower vagina, and lower urethra. T2 is defined as tumor of any size with extension to adjacent perineal
structures (lower/distal third of urethra, lower/distal third of vagina, anal involvement).
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 8: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/8.jpg)
Vulva
T3 is defined as tumor of any size with extension to any of the following: upper/promixal two-thirds of urethra, upper/proximal two-thirds of vagina, bladder mucosa, rectal
mucosa, or fixed to pelvic bone.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 9: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/9.jpg)
Vulva
N1a is defined as one or two lymph nodes metastasis each less than 5 mm.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 10: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/10.jpg)
Vulva
N1b is defined as one lymph node metastasis 5 mm or greater.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 11: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/11.jpg)
Vulva
N2a is defined as three or more lymph node metastases each less than 5 mm.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 12: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/12.jpg)
Vulva
N2b is defined as two or more lymph node metastases 5 mm or greater.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 13: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/13.jpg)
Vulva
N2c is defined as lymph node metastasis with extracapsular sprea.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 14: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/14.jpg)
Vulva
(A) N3 is defined as fixed or ulcerated regional lymph node metastasis.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
![Page 15: Vulva Anatomic sites and subsites of the vulva. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer,](https://reader036.vdocuments.site/reader036/viewer/2022062408/56649f175503460f94c2ddb2/html5/thumbnails/15.jpg)
Vulva
(A) These nodal metastases are considered M1.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer